EASTGATE CHIROPRACTIC CLINIC, INC (NPI# 1992912380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992912380 |
| Entity Type | Organization |
| Organization Name | EASTGATE CHIROPRACTIC CLINIC, INC |
| Practice Address |
1520 N Hearne Ave Suite 103 Shreveport LA 71107-7155 |
| Practice Telephone | 3182226298 |
| Practice Fax Number | 3182226299 |
| Mailing Telephone | 3182226298 |
| Mailing Fax Number | 3182226299 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DWIGHT V HART (PRESIDENT) |
| Authorized Official Telephone | 3182226297 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 973 | LA | Chiropractic Providers |
| Street Address |
1520 N HEARNE AVE SUITE 103 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71107-7155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124653944 | Silas T Jennings | Chiropractor | 1520 N Hearne Ave, Shreveport, LA 71107-7155 | 2020-03-12 |
| 1063749042 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 1520 N Hearne Ave, Suite 112, Shreveport, LA 71107-7155 | 2009-11-11 |
| 1760691281 | Chad Richard Havard | Chiropractor | 1520 N Hearne Ave, Suite 103, Shreveport, LA 71107-7155 | 2007-05-21 |
| 1346457736 | Dwight V Hart | Chiropractor | 1520 N Hearne Ave, Suite 103, Shreveport, LA 71107-7155 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490875 | Kimber Leigh Lumley | Registered Nurse | 1440 Hawn Ave., Shreveport, LA 71107 | 2019-08-01 |
| 1871063461 | Nicole Capito | Case Manager/Care Coordinator | 200 North Thomas Drive Ste 1, Shreveport, LA 71107 | 2018-11-27 |
| 1891260899 | Danielle Leigh Dreher | Dental Assistant | 3610 Gorman Rd, Shreveport, LA 71107 | 2018-10-05 |
| 1255817540 | Shirley Marie Washington | Technician | 3227 Old Mooringsport Rd., Shreveport Rd, LA 71107 | 2018-07-19 |
| 1366928467 | Katrina L Bailey | Case Manager/Care Coordinator | 1111 Hawn Ave Apt A, Shreveport, LA 71107 | 2018-07-12 |
| 1063907970 | James Mcneely IIi | Public Health or Welfare | 5922 Alaska Ln, Shreveport, LA 71107 | 2018-06-25 |
| 1528560067 | Jacarie Guice | Case Manager/Care Coordinator | 4601 N. Market Ste 2, Shreveport, LA 71107 | 2018-03-01 |
| 1467971069 | Tracy Renard Harris | Counselor | 1149 Englemeade Dr, Shreveport, LA 71107 | 2017-09-14 |
| 1427588045 | Mark Rogers | Behavior Technician | 1500 N. Market Unit C Suite 105, Shreveport, LA 71107 | 2017-06-15 |
| 1356871164 | Hope4youth | Voluntary or Charitable | 2850 King Oaks Loop, Shreveport, LA 71107 | 2017-06-14 |
| Find all providers in zip 71107 | ||||
| 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 |
|---|---|---|---|---|
| 1124596929 | Rachael Ann Durst | Chiropractor | 1520 N Hearne Ave Ste 103, Shreveport, LA 71107-7155 | 2018-11-09 |
| 1952760423 | Dempsey R. Zahn | Chiropractor | 1005 Southland Park Dr, Shreveport, LA 71118-3218 | 2016-02-12 |
| 1164852927 | Diamond Brown | Chiropractor | 1950 E 70th St Ste Cd, Shreveport, LA 71105-5345 | 2013-11-14 |
| 1932456407 | Kimberly L Griggs | Chiropractor | 8575 Fern Ave Ste 101, Shreveport, LA 71105-5677 | 2012-08-14 |
| 1790067593 | Ryan Lee Bates | Chiropractor | 7591 Fern Ave Ste 1502, Shreveport, LA 71105-5748 | 2011-09-16 |
| 1396047981 | Mayfield-bacon Auto & Accident Clinic | Chiropractor | 820 Jordan St Ste 110, Shreveport, LA 71101-4519 | 2010-12-02 |
| 1649456278 | Jason L Maggio | Chiropractor | 8575 Fern Ave, Suite 101, Shreveport, LA 71105-5676 | 2008-01-14 |
| 1669687273 | Timothy Robert Levin | Chiropractor | 7700 Jewella Ave, Suite 114, Shreveport, LA 71108-5050 | 2007-05-14 |
| 1629290713 | Michael W Taylor | Chiropractor | 1850 Nelson St, Suite D, Shreveport, LA 71107 | 2007-05-02 |
| 1366587420 | Paul F. Johnston | Chiropractor | 9141 Walker Rd, Shreveport, LA 71118-2940 | 2007-02-20 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71107 |
Please comment or provide details below to improve the information on EASTGATE CHIROPRACTIC CLINIC, INC.
| 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.