Organization Active NPI

Spine Institute of Mississippi

  • Chiropractor
  • Gulfport, MS
National Provider Identifier
1679966048
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1034 Issued in MS
Legal business name
SPINE INSTITUTE OF MISSISSIPPI
Practice address
8950 Lorraine Rd
Suite C
Gulfport, MS 39503-4177
Phone
(228) 896-5343
Fax
(228) 897-3686
NPI assigned
Mar 10, 2015
Last updated
Mar 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Steve Miller, D.C.
Title
Owner
Phone
(228) 896-5343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1034 MS Primary

Addresses

Primary practice location

8950 Lorraine Rd
Suite C
Gulfport, MS 39503-4177

Mailing address

8950 Lorraine Rd
Suite C
Gulfport, MS 39503-4177
Phone (228) 896-5343

National Provider Directory

National Provider Directory

Locations

8950 Lorraine Rd
Ste C
Gulfport, MS 39503
Phone (228) 355-9946

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": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1679966048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 LORRAINE RD",
            "address_2": "SUITE C",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034177",
            "telephone_number": "228-896-5343",
            "fax_number": "228-897-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 LORRAINE RD",
            "address_2": "SUITE C",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034177",
            "telephone_number": "228-896-5343",
            "fax_number": "228-897-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE INSTITUTE OF MISSISSIPPI",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-896-5343",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1034",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 10, 2015; 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.