Desoto County Chiropractic, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

DESOTO COUNTY CHIROPRACTIC, INC.

Practice address

1134 Church Rd W
Southaven, MS 38671-7144

Phone

(662) 393-4848

Fax

(662) 393-4858

NPI assigned

Jan 31, 2013

Last updated

Jan 31, 2013By 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. David Chadwick Hall II, D.C.NPI 1275565285

Title

President

Phone

(901) 338-3886

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 3

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.

• David Chadwick Hall II, D.C (CHIROPRACTOR)

  • Chiropractor
  • Southaven, MS
  • NPI 1275565285
  Medicare reassignment Care Compare group NPD Authorized official
• Troy Allen Reistroffer, D.C.

  • Chiropractor
  • Crete, NE
  • NPI 1104838259

  MS

  Medicare reassignment Care Compare group NPD
• Shawn D Wanderaas, DC

  • Chiropractor
  • Southaven, MS
  • NPI 1669790523
  NPD (past)

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1376882050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "NESBIT",
            "state": "MS",
            "postal_code": "386510175",
            "telephone_number": "662-393-4848",
            "fax_number": "662-393-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 CHURCH RD W",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386717144",
            "telephone_number": "662-393-4848",
            "fax_number": "662-393-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO COUNTY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHADWICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-338-3886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel D Denson, D.D.S.
• Dental Professionals of Mississippi, P.C. (Main Street Dental)
• Lisa Deptula, PA, MD
• Dermatology Clinic of North Mississippi, P.L.L.C.
• Desoto Adult Medicine Associates, PLLC
• Desoto County School
• Desoto Dna and Diagnostic Center
• Desoto Eye and Ear
• Desoto Eye Surgery Center LLC
• Desoto Eyecare Inc

• Health Service Clinic/Center in Southaven, MS
• Providers in Southaven, MS by specialty
• Health Service Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.