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DERIDDER CHIROPRACTIC
NPI 1366470114
Chiropractor in Deridder, LA

Active since June 29, 2006
1606 N PINE ST, DERIDDER, LA 70634(337) 462-3055(337) 462-0741 Get Directions Write a Review

NPPES record last updated: December 11, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Deridder Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERIDDER CHIROPRACTIC (NPI 1366470114) is a healthcare organization registered as a chiropractor in Deridder, Louisiana and active in the NPI registry since June 2006. The organization lists John Robert Johnson, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1366470114
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGREAT SOUTH MANAGEMENT LLC
Location Address1606 N PINE STDeridder, LA 70634-2420
Mailing Address1606 N Pine StDeridder, LA 70634-2420 · (337) 462-3055 · Fax (337) 462-0741
Phone(337) 462-3055
Fax(337) 462-0741
Organization SubpartNo
Authorized OfficialJohn Robert JohnsonChiropractor · (337) 462-3055
Enumeration DateJune 29, 2006
Last NPPES UpdateDecember 11, 2012
✔ NPI 1366470114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in LA · 1168
Definition
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.
1606 N PINE ST, Deridder, LA 70634
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Other Names 1

Doing Business AsDeridder Chiropractic

Other Identifiers 2

Medicare UPINU76323LA
Medicare PIN5CV80LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIK LEWIS BAILEY D.C.
Chiropractor
1606 N PINE ST
DERIDDER, LA 70634
Beauregard Parish (337) 462-3055
DR. HOLLY R GUIDRY D.C.
Chiropractor
1606 N PINE ST
DERIDDER, LA 70634
Beauregard Parish (337) 462-3055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great South Management LLC's NPI number?

The NPI number for Great South Management LLC is 1366470114. It was assigned to this organization in the NPPES registry on June 29, 2006. The provider is doing business as Deridder Chiropractic.

Where is Great South Management LLC located?

Great South Management LLC is located at 1606 N Pine St, Deridder, LA 70634. The listed phone number is (337) 462-3055.

What is Great South Management LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Great South Management LLC was last updated on December 11, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.