Organization Active NPI

Natural Pain Back Institute, LLC

  • Chiropractor
  • Cleveland, MS
National Provider Identifier
1144503673
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0950 Issued in MS
Legal business name
NATURAL PAIN BACK INSTITUTE, LLC
Practice address
506 3Rd St
Cleveland, MS 38732-2362
Phone
(622) 843-0076
Fax
(622) 846-7730
NPI assigned
Sep 21, 2011
Last updated
Nov 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Reginald L. Rodges, D.C.NPI 1699865501
Title
Sole Member
Phone
(662) 843-0076

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
Chiropractor 111N00000X 0950 MS Primary

Addresses

Primary practice location

506 3Rd St
Cleveland, MS 38732-2362

Mailing address

506 3Rd St
Cleveland, MS 38732-2362
Phone (622) 843-0076

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111230000444 MS Part B Supplier - Clinic/Group Practice 7214103944 Receives reassigned benefits from 1 practitioner
Practice locations: Cleveland, MS

National Provider Directory

National Provider Directory

Locations

506 3rd St
Cleveland, MS 38732
Phone (622) 843-0076

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1144503673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 3RD ST",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322362",
            "telephone_number": "622-843-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 3RD ST",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322362",
            "telephone_number": "622-843-0076",
            "fax_number": "622-846-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL PAIN BACK INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "RODGES",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "662-843-0076",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "0950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.