Organization Active NPI

Long Chiropractic, P. a.

  • Clinic/Center
  • Biloxi, MS
National Provider Identifier
1093964124
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
110 Issued in MS
Legal business name
LONG CHIROPRACTIC, P. A.
Practice address
2541 Pass Rd
Ste H
Biloxi, MS 39531-2106
Phone
(228) 594-1181
Fax
(228) 594-1920
NPI assigned
Sep 12, 2008
Last updated
Sep 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Authorized official

Name
Dr. Edward Miles Long, D. C.
Title
President/Owner
Phone
(228) 594-1181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 110 MS Primary

Addresses

Primary practice location

2541 Pass Rd
Ste H
Biloxi, MS 39531-2106

Mailing address

2541 Pass Rd
Ste H
Biloxi, MS 39531-2106
Phone (228) 594-1181

Other identifiers 1

IdentifierTypeStateIssuer
00115873MedicaidMS

National Provider Directory

National Provider Directory

Locations

2541 Pass Rd
Ste H
Biloxi, MS 39531
Phone (228) 594-1181

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1093964124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2541 PASS RD",
            "address_2": "STE H",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312106",
            "telephone_number": "228-594-1181",
            "fax_number": "228-594-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 PASS RD",
            "address_2": "STE H",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312106",
            "telephone_number": "228-594-1181",
            "fax_number": "228-594-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG CHIROPRACTIC, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "MILES",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "228-594-1181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MS",
            "license": "110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115873",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.