DERIDDER CHIROPRACTIC, LLC (NPI# 1013171776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013171776 |
| Entity Type | Organization |
| Organization Name | DERIDDER CHIROPRACTIC, LLC |
| Other Organization Name | DERIDDER CHIROPRACTIC |
| Practice Address |
1606 N Pine St Deridder LA 70634-2420 |
| Practice Telephone | 3374623055 |
| Practice Fax Number | 3374620741 |
| Mailing Telephone | 3374623055 |
| Mailing Fax Number | 3374620741 |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2014-12-02 |
| Authorized Official Name | DR. ERIK LEWIS BAILEY (CHIROPRACTOR) |
| Authorized Official Telephone | 3374623055 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1516 | LA | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| DeRidder Chiropractic | Doing Business As Name - Organization |
| Street Address |
1606 N PINE ST |
| City | DERIDDER |
| State | LA |
| Zip Code | 70634-2420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366470114 | Great South Management LLC | Chiropractor | 1606 N Pine St, Deridder, LA 70634-2420 | 2006-06-29 |
| 1548492010 | Erik Lewis Bailey | Chiropractor | 1606 N Pine St, Deridder, LA 70634-2420 | 2009-08-18 |
| 1871733964 | Holly R Guidry | Chiropractor | 1606 N Pine St, Deridder, LA 70634-2420 | 2009-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016164 | Just Health | Clinic/Center | 411 Bolivar Bishop Dr, Deridder, LA 70634 | 2020-06-02 |
| 1477193183 | Stacey Marie Legros | Occupational Therapy Assistant | 19503 Highway 171, Deridder, LA 70634 | 2020-01-10 |
| 1487296588 | Imperial Health LLP | Internal Medicine | 200 W 5th Street, Deridder, LA 70634 | 2019-10-10 |
| 1902367568 | Residential Therapy Solutions, LLC | Physical Therapist | 19503 Hwy 171, Deridder, LA 70634 | 2019-03-27 |
| 1023583044 | Calcasieu Urgent Care LLC | Clinic/Center | 1017 N Pine Street, Deridder, LA 70634 | 2018-10-05 |
| 1235638222 | Melanie Welch, Fnp, LLC | Nurse Practitioner | 1420 Blankenship Dr., Deridder, LA 70634 | 2018-02-06 |
| 1265976617 | Jennifer Dianne Midgett | Nurse Practitioner | 2581 Highway 190 W, Deridder, LA 70634 | 2016-12-05 |
| 1821419334 | Beauregard Hematolog & Oncology | Internal Medicine | 301 S. Washington St., Ste B, Deridder, LA 70634 | 2013-12-31 |
| 1982835013 | Kathern Sue Hollifield | Physical Therapist | 309 S. Washington St., Beauregard Physical Therapy Clinic Inc, Deridder, LA 70634 | 2009-08-06 |
| 1750541777 | Tracy Winkley | Physical Therapist | 1744 Ball Rd, Deridder, LA 70634 | 2008-06-12 |
| Find all providers in zip 70634 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174789069 | James W. Jenkins, D.c., PCc | Chiropractor | 304 N Pine St, Deridder, LA 70634-3904 | 2008-07-31 |
| 1164561254 | James W. Jenkins | Chiropractor | 304 North Pine St, Deridder, LA 70634 | 2007-02-05 |
| 1366470114 | Great South Management LLC | Chiropractor | 1606 N Pine St, Deridder, LA 70634-2420 | 2006-06-29 |
| 1548492010 | Erik Lewis Bailey | Chiropractor | 1606 N Pine St, Deridder, LA 70634-2420 | 2009-08-18 |
| 1871733964 | Holly R Guidry | Chiropractor | 1606 N Pine St, Deridder, LA 70634-2420 | 2009-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539418 | Johnathan Ory Boudreaux | Chiropractor | 3219 Sterlington Rd, Monroe, LA 71203-2519 | 2020-08-18 |
| 1811514763 | Daniel William Cadona | Chiropractor | 200 Beaullieu Dr Ste 9b2, Lafayette, LA 70508-7230 | 2020-06-26 |
| 1598382467 | Mcgraw-edwards Chiropractic LLC. | Chiropractor | 7197 Us Highway 61 Suite E, St. Francisville, LA 70775 | 2020-06-26 |
| 1306461488 | Evan Tyler Beatty | Chiropractor | 6601 Veterans Memorial Blvd Ste 33, Metairie, LA 70003-3943 | 2020-06-14 |
| 1235753765 | Scott Mccarty | Chiropractor | 405 Gretna Blvd Ste 109, Gretna, LA 70053-4972 | 2020-06-01 |
| 1699300483 | Lauren Michelle Shively | Chiropractor | 4200 Airline Dr Ste 600, Bossier City, LA 71111-2189 | 2020-03-11 |
| 1962036327 | Samuel Catalanatto LLC | Chiropractor | 1660 Highway 59 Ste 500, Mandeville, LA 70448-1956 | 2020-02-25 |
| 1871126680 | Casey Elizabeth Shelton | Chiropractor | 1901 Possum Hollow Rd, Slidell, LA 70458-8303 | 2020-02-20 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.