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NPI 1770411431ActiveIndividual· Chiropractor· Thibodaux, LA

Chiropractor in Thibodaux, Louisiana, licensed in LA, with an NPI issued in May 2026. Enrolled in Medicare as practitioner - chiropractic.

Overview

NPI1770411431
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedMay 12, 2026
Last updated in NPPESMay 12, 2026
Certified by providerMay 12, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Chiropractor Primary111N00000X2070LA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Chiropractic (LA)

Medicare sources and data years

Education and affiliations

Graduation year2025
Medicare specialtyChiropractic

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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