Organization Active NPI

McArthur Chiropractic, LLC

  • Chiropractor
  • Meridian, MS
National Provider Identifier
1124390752
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
418 Issued in MS
Legal business name
MCARTHUR CHIROPRACTIC, LLC
Practice address
4808 Great River Dr
Suite E
Meridian, MS 39305-2664
Phone
(601) 693-1100
Fax
(601) 483-7435
NPI assigned
Jan 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Authorized official

Name
Dr. Russel E McArthur, D.C.NPI 1487759528
Title
Member
Phone
(601) 693-1100

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 418 MS Primary

Addresses

Primary practice location

4808 Great River Dr
Suite E
Meridian, MS 39305-2664

Mailing address

4808 Great River Dr
Suite E
Meridian, MS 39305-2664
Phone (601) 693-1100

Other identifiers 1

IdentifierTypeStateIssuer
00115180MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120213000443 MS Part B Supplier - Clinic/Group Practice 7719144138 Receives reassigned benefits from 1 practitioner
Practice locations: Meridian, MS

National Provider Directory

National Provider Directory

Locations

4808 Great River Dr
Ste E
Meridian, MS 39305
Phone (601) 693-1100

Practitioners 1

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": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1124390752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 GREAT RIVER DR",
            "address_2": "SUITE E",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393052664",
            "telephone_number": "601-693-1100",
            "fax_number": "601-483-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 GREAT RIVER DR",
            "address_2": "SUITE E",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393052664",
            "telephone_number": "601-693-1100",
            "fax_number": "601-483-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCARTHUR CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "MCARTHUR",
        "authorized_official_first_name": "RUSSEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "601-693-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115180",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.