Active NPI
Chiropractic Health Center., PLLC
- Chiropractor
- Columbus, MS
National Provider Identifier
1275718249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0961
- Legal business name
- CHIROPRACTIC HEALTH CENTER., PLLC
- Practice address
- 613 18TH Ave N
Columbus, MS 39701-2237 - Phone
- (662) 327-8232
- Fax
- (662) 328-6794
- NPI assigned
- Jan 8, 2008
- 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. Trecia S Johnson, D.C.
- Title
- President
- Phone
- (662) 327-8232
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 | 0961 | MS | Primary |
Addresses
Primary practice location
613 18TH Ave N
Columbus, MS 39701-2237
Mailing address
613 18TH Ave N
Columbus, MS 39701-2237
Phone (662) 327-8232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080424000713 | MS | Part B Supplier - Clinic/Group Practice | 0648358093 |
Receives reassigned benefits from 1 practitioner Practice locations: Columbus, MS |
National Provider Directory
National Provider DirectoryLocations
613 18th Ave N
Columbus, MS 39701
Phone (662) 327-8232
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
- Columbus, MS
- NPI 1154407989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199750400000",
"number": "1275718249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 18TH AVE N",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397012237",
"telephone_number": "662-327-8232",
"fax_number": "662-328-6794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 18TH AVE N",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397012237",
"telephone_number": "662-327-8232",
"fax_number": "662-328-6794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROPRACTIC HEALTH CENTER., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-08",
"last_updated": "2008-01-08",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "TRECIA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "662-327-8232",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MS",
"license": "0961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.