Individual provider Active NPI

Anthony Vincent Parkinson, D.C.

  • Chiropractor
  • Jackson, MS
National Provider Identifier
1760576102
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
918 Issued in MS
Practice address
5903 Ridgewood Rd
Suite 103
Jackson, MS 39211-3700
Phone
(601) 899-3167
Fax
(601) 899-3914
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 918 MS Primary

Addresses

Primary practice location

5903 Ridgewood Rd
Suite 103
Jackson, MS 39211-3700

Mailing address

5903 Ridgewood Road
Suite 103
Jackson, MS 39211
Phone (601) 899-3167

Other identifiers 1

IdentifierTypeStateIssuer
00119654MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
918MSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Maywood Chiropractic Clinic Chiropractor PastSince May 8, 2010 Accepting new patients
Pre-Hab, LLC Chiropractor PastSince Jan 1, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1760576102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5903 RIDGEWOOD ROAD",
            "address_2": "SUITE 103",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39211",
            "telephone_number": "601-899-3167",
            "fax_number": "601-899-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5903 RIDGEWOOD RD",
            "address_2": "SUITE 103",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113700",
            "telephone_number": "601-899-3167",
            "fax_number": "601-899-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKINSON",
        "first_name": "ANTHONY",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119654",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.