Desmond Wayne Hoda, D.C.
Individual provider Active NPI Chiropractor · Diamondhead, MS
NPI 1194896902 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194896902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 887 (MS)
- Practice address
- 4308 Park Ten Dr
Diamondhead, MS 39525-3222 - Phone
- (228) 255-5328
- Fax
- (228) 255-0026
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 60
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4308 Park Ten Dr
Diamondhead, MS 39525-3222
Phone (228) 255-5328
Hospital & facility affiliations
- Memorial Hospital at Gulfport
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080731000467 | MS | Practitioner - Chiropractic | 9638243108 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 887 | MS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D and F Inc | Chiropractor | Current |
Accepting new patients |
| Professional Rehabilitation Services | Chiropractor | Past | Accepting new patients |
Locations
4308 Park Ten Dr
Diamondhead, MS 39525
Phone (228) 255-5328
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 887 | MS | Yes |
Addresses
Primary practice location
4308 Park Ten Dr
Diamondhead, MS 39525-3222
Mailing address
4308 Park Ten Dr
P.O. Box 6188
Diamondhead, MS 39525-3222
Phone (228) 255-5328
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00115761 | Medicaid | MS |
Other providers in Diamondhead, MS
- Hancock Medical Health Services, Inc.
- Hancock Medical Health Services, Inc.
- Charles Eugene Harris
- Preethi S Harrison
- Allison Kae Hennessey
- John Cameron Hodge
- Kenneth Edward Hultman
- Ronald Fulton Kellum
- Deedy Killen
- Micah Anthony Ladner
All providers in Diamondhead, MS · Chiropractor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.