Active NPI
McArthur Chiropractic, LLC
- Chiropractor
- Meridian, MS
National Provider Identifier
1124390752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 418
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00115180 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120213000443 | MS | Part B Supplier - Clinic/Group Practice | 7719144138 |
Receives reassigned benefits from 1 practitioner Practice locations: Meridian, MS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Meridian, MS
- NPI 1487759528
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.