Organization Active NPI

Jones Family Chiropractic PA

  • Chiropractor
  • Canton, MS
National Provider Identifier
1639402860
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
932 Issued in MS
Legal business name
JONES FAMILY CHIROPRACTIC PA
Practice address
134 E Peace St
Canton, MS 39046-4520
Phone
(601) 859-0027
Fax
(601) 859-0065
NPI assigned
Sep 4, 2009
Last updated
Sep 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Authorized official

Name
Dr. Michael K Jones, D.C.NPI 1376626192
Title
President
Phone
(601) 859-0027

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 932 MS Primary

Addresses

Primary practice location

134 E Peace St
Canton, MS 39046-4520

Mailing address

PO Box 1740
Canton, MS 39046-1740
Phone (601) 859-0027

Other identifiers 1

IdentifierTypeStateIssuer
00120026MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091222000282 MS Part B Supplier - Clinic/Group Practice 8325188436 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, MS

National Provider Directory

National Provider Directory

Locations

134 E Peace St
Canton, MS 39046
Phone (601) 859-0027

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": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1639402860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1740",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390461740",
            "telephone_number": "601-859-0027",
            "fax_number": "601-859-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 E PEACE ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390464520",
            "telephone_number": "601-859-0027",
            "fax_number": "601-859-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES FAMILY CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-859-0027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00120026",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; 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.