Organization Active NPI

Mid South Chiropractic of Hernando PLLC

  • Chiropractor
  • Hernando, MS
National Provider Identifier
1750807301
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1245 Issued in MS
Legal business name
MID SOUTH CHIROPRACTIC OF HERNANDO PLLC
Practice address
210 E Commerce St Ste 1
Hernando, MS 38632-2308
Phone
(662) 890-0012
Fax
(662) 890-0522
NPI assigned
Aug 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Brittany Ann Kasprack, DCNPI 1528448685
Title
Owner/Chiropractor
Phone
(662) 890-0012

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1245 MS Primary

Addresses

Primary practice location

210 E Commerce St Ste 1
Hernando, MS 38632-2308

Mailing address

210 E Commerce St Ste 1
Hernando, MS 38632-2308
Phone (662) 912-9294

Other identifiers 1

IdentifierTypeStateIssuer
1528448685OtherINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171002000234 MS Part B Supplier - Clinic/Group Practice 8022383025 Receives reassigned benefits from 3 practitioners
Practice locations: Hernando, MS

National Provider Directory

National Provider Directory

Locations

210 E Commerce St
Ste 1
Hernando, MS 38632
Phone (662) 890-0012

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750807301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E COMMERCE ST STE 1",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322308",
            "telephone_number": "662-912-9294",
            "fax_number": "662-890-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E COMMERCE ST STE 1",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322308",
            "telephone_number": "662-890-0012",
            "fax_number": "662-890-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID SOUTH CHIROPRACTIC OF HERNANDO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KASPRACK",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "662-890-0012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1528448685",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hernando, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.