Organization Active NPI

Tullos Chiropractic Clinic

  • Chiropractor
  • Jackson, MS
National Provider Identifier
1609096361
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0813 Issued in MS
Legal business name
TULLOS CHIROPRACTIC CLINIC
Practice address
3710 I 55 N
Jackson, MS 39211-6323
Phone
(601) 981-2273
Fax
(601) 981-0578
NPI assigned
Apr 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daivd N Tullos, DC
Title
Doctor
Phone
(601) 981-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0813 MS Primary

Addresses

Primary practice location

3710 I 55 N
Jackson, MS 39211-6323

Mailing address

3710 I 55 N
Jackson, MS 39211-6323
Phone (601) 981-2273

National Provider Directory

National Provider Directory

Locations

3710 I 55 N
Jackson, MS 39211
Phone (601) 981-2273

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609096361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 I 55 N",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392116323",
            "telephone_number": "601-981-2273",
            "fax_number": "601-981-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 I 55 N",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392116323",
            "telephone_number": "601-981-2273",
            "fax_number": "601-981-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULLOS CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TULLOS",
        "authorized_official_first_name": "DAIVD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "601-981-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "0813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.