Eagle'S Pointe Clinic of Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1194 Issued in MS

Legal business name

EAGLE'S POINTE CLINIC OF CHIROPRACTIC LLC

Practice address

5910 U S Highway 49
Suite 15
Hattiesburg, MS 39401-7585

Phone

(601) 951-1908

NPI assigned

Dec 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Lacresha Nicole Essex, D.C.

Title

Member

Phone

(601) 951-1908

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1831435262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BRECKENRIDGE DR",
            "address_2": "APT 103",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394023503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 U S HIGHWAY 49",
            "address_2": "SUITE 15",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017585",
            "telephone_number": "601-951-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE'S POINTE CLINIC OF CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "ESSEX",
        "authorized_official_first_name": "LACRESHA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "601-951-1908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1194",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.