Active NPI
Calvin Erhabor, D.C.
- Chiropractor
- Hattiesburg, MS
National Provider Identifier
1104161504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1198
- Practice address
- 5910 U S Highway 49
Suite 15
Hattiesburg, MS 39401-7585 - Phone
- (601) 317-6633
- NPI assigned
- Dec 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1198 | MS | Primary |
Addresses
Primary practice location
5910 U S Highway 49
Suite 15
Hattiesburg, MS 39401-7585
Mailing address
5910 U S Highway 49
Suite 15
Hattiesburg, MS 39401-7585
Phone (601) 317-6633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1198 | MS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355270400000",
"number": "1104161504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5910 U S HIGHWAY 49",
"address_2": "SUITE 15",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017585",
"telephone_number": "601-317-6633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5910 U S HIGHWAY 49",
"address_2": "SUITE 15",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017585",
"telephone_number": "601-317-6633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERHABOR",
"first_name": "CALVIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-11",
"last_updated": "2012-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MS",
"license": "1198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.