SPINE AND SPORT OF SLIDELL, LLC
NPI 1457100729
Chiropractor in Slidell, LA

Active since May 17, 2024
436 OLD SPANISH TRL, SLIDELL, LA 70458(985) 641-4898 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Spine And Sport Of Slidell, Llc NPPES

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

SPINE AND SPORT OF SLIDELL, LLC (NPI 1457100729) is a healthcare organization registered as a chiropractor in Slidell, Louisiana and active in the NPI registry since May 2024. The organization lists Kyle W Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1457100729
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSPINE AND SPORT OF SLIDELL, LLC
Location Address436 OLD SPANISH TRLSlidell, LA 70458-3904
Mailing Address520 N Caleb DrSlidell, LA 70461-5713 · (985) 290-0893
Organization SubpartNo
Authorized OfficialKyle W SmithOwner · (985) 290-0893
Enumeration DateMay 17, 2024
NPPES CertifiedMay 17, 2024
✔ NPI 1457100729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
436 OLD SPANISH TRL, Slidell, LA 70458

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spine And Sport Of Slidell, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Spine And Sport Of Slidell, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1811386949
436 OLD SPANISH TRL
Slidell, LA 70458
(985) 641-4898
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Spine And Sport Of Slidell, LLC's NPI number?

The NPI number for Spine And Sport Of Slidell, LLC is 1457100729. It was assigned to this organization in the NPPES registry on May 17, 2024.

Where is Spine And Sport Of Slidell, LLC located?

Spine And Sport Of Slidell, LLC is located at 436 Old Spanish Trl, Slidell, LA 70458. The listed phone number is (985) 641-4898.

What is Spine And Sport Of Slidell, LLC's specialty?

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

Is Spine And Sport Of Slidell, LLC enrolled in Medicare?

Yes. Spine And Sport Of Slidell, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spine And Sport Of Slidell, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Spine And Sport Of Slidell, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Spine And Sport Of Slidell, LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Spine And Sport Of Slidell, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Spine And Sport Of Slidell, LLC was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.