Action Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0875 Issued in MS

Legal business name

ACTION CHIROPRACTIC CENTER

Practice address

6935 Old Canton Rd
Ridgeland, MS 39157-1284

Phone

(601) 956-6050

NPI assigned

Nov 16, 2006

Last updated

Aug 22, 2020By 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

Dominique Chagnon, D.C.NPI 1609953843

Title

Owner

Phone

(601) 956-6050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 6

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.

• Dominique Roch Chagnon, DC

  • Chiropractor
  • Ridgeland, MS
  • NPI 1609953843
  Medicare reassignment Care Compare group NPD Authorized official
• Gary F De Mott, D.C.

  • Chiropractor
  • Chester, SC
  • NPI 1841244662

  MS

  Medicare reassignment Care Compare group NPD
• Trevene Raven Cowan, DC

  • Chiropractor
  • Ridgeland, MS
  • NPI 1437939139
  NPD
• William Brent Cumberland, DC

  • Chiropractor
  • Ridgeland, MS
  • NPI 1093891830
  NPD (past)
• Lynn C Fowler, D.C.

  • Chiropractor
  • Pearl, MS
  • NPI 1871685552
  NPD (past)
• Felicia Faye King, D.C.

  • Chiropractor
  • Jackson, MS
  • NPI 1477613933
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265505267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6935 OLD CANTON RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571284",
            "telephone_number": "601-956-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6935 OLD CANTON RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571284",
            "telephone_number": "601-956-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAGNON",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-956-6050",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "0875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.