Active NPI
Arthur Tripp, DC
- Chiropractor
- Gulfport, MS
National Provider Identifier
1619003191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 963
- Practice address
- 422 Security Square
Dr Arthur Tripp Traditional Chiropractic
Gulfport, MS 39507 - Phone
- (228) 896-6616
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 963 | MS | Primary |
Addresses
Primary practice location
422 Security Square
Dr Arthur Tripp Traditional Chiropractic
Gulfport, MS 39507
Mailing address
422 Security Square
Dr Arthur Tripp Traditional Chiropractic
Gulfport, MS 39507
Phone (228) 896-6616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0122363 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080828000015 | MS | Practitioner - Chiropractic | 7416023460 | Practice locations: Gulfport, MS |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1643 E Pass Rd
Gulfport, MS 39507-3542
Phone (228) 896-6616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 963 | MS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619003191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 SECURITY SQUARE",
"address_2": "DR ARTHUR TRIPP TRADITIONAL CHIROPRACTIC",
"city": "GULFPORT",
"state": "MS",
"postal_code": "39507",
"telephone_number": "228-896-6616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 SECURITY SQUARE",
"address_2": "DR ARTHUR TRIPP TRADITIONAL CHIROPRACTIC",
"city": "GULFPORT",
"state": "MS",
"postal_code": "39507",
"telephone_number": "228-896-6616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIPP",
"first_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MS",
"license": "963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0122363",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.