Active NPI
Giust Chiropractic Center, P.a.
- Chiropractor
- Brookhaven, MS
National Provider Identifier
1154608792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0769
- Legal business name
- GIUST CHIROPRACTIC CENTER, P.A.
- Practice address
- 880 Brookway Blvd
Brookhaven, MS 39601-2642 - Phone
- (601) 833-8100
- Fax
- (601) 833-3377
- NPI assigned
- Nov 10, 2011
- 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. Mark Steven Giust, D.C.
- Title
- President
- Phone
- (601) 833-8100
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 | 0769 | MS | Primary |
Addresses
Primary practice location
880 Brookway Blvd
Brookhaven, MS 39601-2642
Mailing address
880 Brookway Blvd
Brookhaven, MS 39601-2642
Phone (601) 833-8100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 284586898A | Other | MS | BLUE SHIELD 1500 ID |
| 00115776 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
450 Brookway Blvd
Brookhaven, MS 39601
Phone (601) 833-8100
880 Brookway Blvd
Brookhaven, MS 39601
Phone (601) 833-8100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Brookhaven, MS
- NPI 1497846141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320883200000",
"number": "1154608792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 BROOKWAY BLVD",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396012642",
"telephone_number": "601-833-8100",
"fax_number": "601-833-3377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 BROOKWAY BLVD",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396012642",
"telephone_number": "601-833-8100",
"fax_number": "601-833-3377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIUST CHIROPRACTIC CENTER, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-10",
"last_updated": "2011-11-10",
"status": "A",
"authorized_official_last_name": "GIUST",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "STEVEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "601-833-8100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MS",
"license": "0769",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD 1500 ID",
"identifier": "284586898A",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00115776",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookhaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.