Organization Active NPI

Monroe Family Chiropractic, LLC

  • Chiropractor
  • Amory, MS
National Provider Identifier
1780948455
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0895 Issued in MS
Legal business name
MONROE FAMILY CHIROPRACTIC, LLC
Practice address
200 3Rd St N
Amory, MS 38821-3436
Phone
(662) 257-0333
Fax
(662) 257-0316
NPI assigned
Jun 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Authorized official

Name
Dr. Lewis Richard French, D.C.NPI 1861467334
Title
Owner / Doctor of Chiropractic
Phone
(662) 257-0333

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 0895 MS Primary

Addresses

Primary practice location

200 3Rd St N
Amory, MS 38821-3436

Mailing address

200 3Rd St N
Amory, MS 38821-3436
Phone (662) 257-0333

Other identifiers 1

IdentifierTypeStateIssuer
00119923MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120724000250 MS Part B Supplier - Clinic/Group Practice 1557527371 Receives reassigned benefits from 1 practitioner
Practice locations: Amory, MS

National Provider Directory

National Provider Directory

Locations

200 3rd St N
Amory, MS 38821
Phone (601) 257-0333

201 3rd Ave N
Ste 5
Amory, MS 38821
Phone (662) 257-0333

Practitioners & affiliated clinicians

Practitioners 1

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": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1780948455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 3RD ST N",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388213436",
            "telephone_number": "662-257-0333",
            "fax_number": "662-257-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 3RD ST N",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388213436",
            "telephone_number": "662-257-0333",
            "fax_number": "662-257-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "FRENCH",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER / DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "662-257-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "0895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119923",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amory, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.