Dominique Roch Chagnon, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0875 Issued in MS

Practice address

6935 Old Canton Rd
Ste a
Ridgeland, MS 39157

Phone

(601) 956-6050

Fax

(601) 952-0738

NPI assigned

Nov 1, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Action Chiropractic CenterGroup PAC ID 2466410543, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Action Chiropractic Center

  • Chiropractor
  • Ridgeland, MS
  • NPI 1265505267
  Medicare reassignment Care Compare group NPD Authorized official
• Highway2Health Chiropractic Inc

  • Chiropractor
  • Jackson, MS
  • NPI 1053588830
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609953843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6935 OLD CANTON RD",
            "address_2": "STE A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-956-6050",
            "fax_number": "601-952-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6935 OLD CANTON RD",
            "address_2": "STE A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-956-6050",
            "fax_number": "601-952-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAGNON",
        "first_name": "DOMINIQUE",
        "middle_name": "ROCH",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "0875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00114952",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015779",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cass L. Clements, O.D., LLC (Family Eye Care of Ridgeland)
• Tavia McNair Cavett, M.S.W, L.C.S.W, CEAP
• Stephen P Cayer, OTR/L
• Center for Integrated Behavioral Innovations, LLC
• Heather Daniella Chadwick, SLP
• Angela Chambers
• Sarah Ann Chancelor, LPTA
• Chapl Behavioral Therapy LLC
• Pornsawan Chappell, LPC
• Leslie Lashay Chase, FNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.