Organization Active NPI

Scott T. Ballard D.C. LLC

Doing business as Biloxi Chiropractic Clinic

  • Chiropractor
  • Biloxi, MS
National Provider Identifier
1538262126
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1123 Issued in MS
Legal business name
SCOTT T. BALLARD D.C. LLC
Doing business as
Biloxi Chiropractic Clinic
Practice address
2478 Pass Rd
Biloxi, MS 39531
Phone
(228) 388-5753
Fax
(228) 594-1717
NPI assigned
Sep 7, 2006
Last updated
Feb 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Scott T. Ballard, D.C.NPI 1063452092
Title
Owner
Phone
(228) 388-5753

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 0466 MS
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 1123 MS Primary

Addresses

Primary practice location

2478 Pass Rd
Biloxi, MS 39531

Mailing address

PO Box 4441
2478 Pass Rd
Biloxi, MS 39531
Phone (228) 388-5753

Other names 1

  • Biloxi Chiropractic Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110321000251 MS Part B Supplier - Clinic/Group Practice 8224211875 Receives reassigned benefits from 1 practitioner
Practice locations: Biloxi, MS

National Provider Directory

National Provider Directory

Locations

2478 Pass Rd
Biloxi, MS 39531
Phone (228) 388-5153

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1538262126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4441",
            "address_2": "2478 PASS RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "39531",
            "telephone_number": "228-388-5753",
            "fax_number": "228-594-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2478 PASS RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "39531",
            "telephone_number": "228-388-5753",
            "fax_number": "228-594-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT T. BALLARD D.C. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-388-5753",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "0466",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Biloxi Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.