Chiropractic Center of Saltillo

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1101 Issued in MS

Legal business name

CHIROPRACTIC CENTER OF SALTILLO

Practice address

115 Town Creek Drive
Suite B
Saltillo, MS 38866-1058

Phone

(662) 869-9907

Fax

(662) 869-9908

NPI assigned

Jan 25, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bryan D Serena, D.C.NPI 1588759088

Title

Chiropractor

Phone

(662) 869-9907

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan D Serena, D.C.

  • Chiropractor
  • Hamilton, AL
  • NPI 1588759088
  NPD (past) Authorized official

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063567204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1058",
            "address_2": "115 TOWN CREEK DR.",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388661058",
            "telephone_number": "662-869-9907",
            "fax_number": "662-869-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 TOWN CREEK DRIVE",
            "address_2": "SUITE B",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388661058",
            "telephone_number": "662-869-9907",
            "fax_number": "662-869-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CENTER OF SALTILLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SERENA",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "662-869-9907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Saltillo, MS
• Providers in Saltillo, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.