Individual provider Active NPI

David L Killen, D.C.

  • Chiropractor
  • Bogalusa, LA
National Provider Identifier
1992884936
Registry record updated Feb 13, 2013
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Sep 20, 2017.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1416 Issued in LA
Practice address
521 Ontario Ave
Bogalusa, LA 70427-2612
Phone
(985) 735-1112
Fax
(985) 735-1386
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1416 LA Primary

Addresses

Primary practice location

521 Ontario Ave
Bogalusa, LA 70427-2612

Mailing address

521 Ontario Ave
Bogalusa, LA 70427-2612
Phone (985) 735-1112

Other identifiers 1

IdentifierTypeStateIssuer
2127390MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1416LAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
E and G Enterprises Inc Past Accepting new patients
Global Medical Center, LLC Past Accepting new patients
Back on Track, Inc Chiropractor PastSince Dec 1, 2007 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1992884936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 ONTARIO AVE",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704272612",
            "telephone_number": "985-735-1112",
            "fax_number": "985-735-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 ONTARIO AVE",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704272612",
            "telephone_number": "985-735-1112",
            "fax_number": "985-735-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLEN",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2127390",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

Verify at the official NPI Registry.