Organization Active NPI

Chiropractic Health Center., PLLC

  • Chiropractor
  • Columbus, MS
National Provider Identifier
1275718249
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0961 Issued in MS
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

Updated by the provider on Jan 8, 2008

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.NPI 1154407989
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20080424000713 MS Part B Supplier - Clinic/Group Practice 0648358093 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, MS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.