Herndon Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

399 Issued in MS

Legal business name

HERNDON CHIROPRACTIC LLC

Practice address

2087 Cliff Gookin Blvd
Tupelo, MS 38801-6724

Phone

(662) 842-8413

Fax

(662) 844-3292

NPI assigned

Aug 21, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Ron HerndonNPI 1053462036

Title

Administrator

Phone

(662) 842-8413

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ron Herndon, D.C.

  • Chiropractor
  • Tupelo, MS
  • NPI 1053462036
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1740760552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2087 CLIFF GOOKIN BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016724",
            "telephone_number": "662-842-8413",
            "fax_number": "662-844-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2087 CLIFF GOOKIN BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016724",
            "telephone_number": "662-842-8413",
            "fax_number": "662-844-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNDON CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-842-8413",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Stonecypher Henson
• Mary T Henson
• William Chase Henson, M.D.
• Heritage Obstetrics & Gynecolgy Clinic of NM PA
• Jessica May Hernandez
• Ron Herndon, D.C.
• Audrey Herren
• Alyssa Herring
• Bethany Herring
• Amanda Hester

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.