NPIMap

Organization Active NPI

Eastgate Chiropractic Clinic, Inc

  • Chiropractor
  • Shreveport, LA
National Provider Identifier
1992912380
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
973 Issued in LA
Legal business name
EASTGATE CHIROPRACTIC CLINIC, INC
Practice address
1520 N Hearne Ave
Suite 103
Shreveport, LA 71107-7155
Phone
(318) 222-6298
Fax
(318) 222-6299
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dwight V Hart, D.C.
Title
President
Phone
(318) 222-6297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 973 LA Primary

Addresses

Primary practice location

1520 N Hearne Ave
Suite 103
Shreveport, LA 71107-7155

Mailing address

1520 N Hearne Ave
Suite 103
Shreveport, LA 71107-7155
Phone (318) 222-6298

National Provider Directory

National Provider Directory

Locations

1520 N Hearne Ave
Ste 103
Shreveport, LA 71107
Phone (318) 222-6297

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992912380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 N HEARNE AVE",
            "address_2": "SUITE 103",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711077155",
            "telephone_number": "318-222-6298",
            "fax_number": "318-222-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N HEARNE AVE",
            "address_2": "SUITE 103",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711077155",
            "telephone_number": "318-222-6298",
            "fax_number": "318-222-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTGATE CHIROPRACTIC CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-222-6297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.