Ballard Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0021 Issued in NU

Legal business name

BALLARD CHIROPRACTIC

Practice address

1301I Sunset Dr
Grenada, MS 38901-4003

Phone

(662) 226-4388

Fax

(662) 226-4538

NPI assigned

Aug 28, 2007

Last updated

May 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Harvey Mack Ballard II, D.C., F.I.C.C.

Title

Owner

Phone

(662) 226-4388

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1184818650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1291",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389021291",
            "telephone_number": "662-226-4388",
            "fax_number": "662-226-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301I SUNSET DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014003",
            "telephone_number": "662-226-4388",
            "fax_number": "662-226-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLARD CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "MACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-226-4388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C., F.I.C.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": "0021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115516",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "424480961A",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00503669",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Marie Artman, RN
• Dennis W Aust, MD
• Sonya Aycock, LPC
• Audrey Kathryn Bailey
• Balance Therapy and Wellness LLC
• Kristina Ballard, RN
• Chastity A Barnette, CFNP
• David Ray Basinger Jr., DMD
• Sylvia C Bass
• Tracey Baxter, P-LPC

• Chiropractor in Grenada, MS
• Providers in Grenada, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.