Victory Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

980 Issued in MS

Legal business name

VICTORY CHIROPRACTIC CENTER

Practice address

315 Highway 90
Gautier, MS 39553-6340

Phone

(228) 497-9907

Fax

(228) 497-9917

NPI assigned

Apr 28, 2009

Last updated

Apr 28, 2009By 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. James D Victory, DCNPI 1881781631

Title

Owner/Doctor

Phone

(228) 497-9907

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• James D Victory, D.C.

  • Chiropractor
  • Gautier, MS
  • NPI 1881781631
  NPD (past) Authorized official
• Jared Victory

  • Chiropractor
  • Gautier, MS
  • NPI 1922927623
  NPD (past)

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1447494950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395530760",
            "telephone_number": "228-497-9907",
            "fax_number": "228-497-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395536340",
            "telephone_number": "228-497-9907",
            "fax_number": "228-497-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "VICTORY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "228-497-9907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123096",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08755862",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy H. Turner, MS, MLAP, LCADC
• Elizabeth Rose Ussery
• Makenzie Lin Vangorder, B.A.
• Addison Daniel Vernon, B.A.
• Anne Margaret Vicini, M.S.
• James D Victory, D.C.
• Jared Victory
• Ruth Marie Villafane, B.S.
• Jeannie Melissa Walborn, BS
• Marina K Waldrop

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.