Joshua Hardin
Individual provider Active NPI Chiropractor · Horn Lake, MS
NPI 1497501704 · NPPES record last updated Apr 26, 2024
Key facts
- NPI
- 1497501704
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1397 (MS)
- Practice address
- 2085 Goodman Rd W Ste 80
Horn Lake, MS 38637-1416 - Phone
- (662) 890-0012
- NPI assigned
- Apr 26, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2085 Goodman Rd W
Suite 80
Horn Lake, MS 38637-1416
Phone (662) 655-5257
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240803000388 | MS | Practitioner - Chiropractic | 7517404858 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1397 | MS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big River Chiropractic Horn Lake PLLC | Chiropractor | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1397 | MS | Yes |
Addresses
Primary practice location
2085 Goodman Rd W Ste 80
Horn Lake, MS 38637-1416
Mailing address
2085 Goodman Rd W Ste 80
Horn Lake, MS 38637-1416
Phone (662) 890-0012
NPI Registry JSON
{
"created_epoch": "1714089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1497501704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2085 GOODMAN RD W STE 80",
"city": "HORN LAKE",
"state": "MS",
"postal_code": "386371416",
"telephone_number": "662-890-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2085 GOODMAN RD W STE 80",
"city": "HORN LAKE",
"state": "MS",
"postal_code": "386371416",
"telephone_number": "662-890-0012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDIN",
"first_name": "JOSHUA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-26",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MS",
"license": "1397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Horn Lake, MS
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- Latonika S Guins
- Jennifer Hailey-Dukes
- Haley Hamm
- Happy Smiles LLC
- Takedra Harris
- Wanda Cook Hartley
- Syed Fazeel Hassan
- Brianna Herron
- Pamela C Higginbottom
All providers in Horn Lake, MS · Chiropractor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.