Organization Active NPI

Saum Chiropractic Clinic PLLC

  • Chiropractor
  • Columbus, MS
National Provider Identifier
1013073584
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SAUM CHIROPRACTIC CLINIC PLLC
Practice address
111 Alabama St
Columbus, MS 39702-5220
Phone
(662) 327-6586
Fax
(662) 327-6587
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David J Saum, D.C.
Title
Managing Partner
Phone
(662) 327-6586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

111 Alabama St
Columbus, MS 39702-5220

Mailing address

111 Alabama St
Columbus, MS 39702-5220
Phone (662) 327-6586

Other identifiers 3

IdentifierTypeStateIssuer
C03595OtherMSPTAN
DF4951OtherMSRAIL ROAD MEDICARE GROUP
04473306MedicaidMS

National Provider Directory

National Provider Directory

Locations

105D Alabama St
Columbus, MS 39702
Phone (601) 327-6586

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1013073584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ALABAMA ST",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397025220",
            "telephone_number": "662-327-6586",
            "fax_number": "662-327-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ALABAMA ST",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397025220",
            "telephone_number": "662-327-6586",
            "fax_number": "662-327-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUM CHIROPRACTIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "SAUM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "662-327-6586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "C03595",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE GROUP",
            "identifier": "DF4951",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04473306",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.