Organization Active NPI

Highway2Health Chiropractic Inc

  • Chiropractor
  • Jackson, MS
National Provider Identifier
1053588830
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1037 Issued in MS
Legal business name
HIGHWAY2HEALTH CHIROPRACTIC INC
Practice address
2084 Dunbarton Dr
Ste C
Jackson, MS 39216-5021
Phone
(662) 836-8893
NPI assigned
May 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Dr. Felicia King, D.C.NPI 1477613933
Title
Ceo
Phone
(662) 836-8893

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1037 MS Primary

Addresses

Primary practice location

2084 Dunbarton Dr
Ste C
Jackson, MS 39216-5021

Mailing address

2084 Dunbarton Dr
Ste C
Jackson, MS 39216-5021
Phone (662) 836-8893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080701000056 MS Part B Supplier - Clinic/Group Practice 6901810076 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, MS

National Provider Directory

National Provider Directory

Locations

105 Main St
Indianola, MS 38751
Phone (662) 836-8893

2084 Dunbarton Dr
Ste C
Jackson, MS 39216
Phone (601) 709-3769

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1053588830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2084 DUNBARTON DR",
            "address_2": "STE C",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165021",
            "telephone_number": "662-836-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2084 DUNBARTON DR",
            "address_2": "STE C",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165021",
            "telephone_number": "662-836-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHWAY2HEALTH CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-836-8893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.