Lucedale Chiropractic Clinic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

610 Issued in MS

Legal business name

LUCEDALE CHIROPRACTIC CLINIC, P.A.

Practice address

789 Winter St
Lucedale, MS 39452-5729

Phone

(601) 947-8472

Fax

(601) 947-1672

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Alan Schultz, D.C.

Title

President

Phone

(601) 947-8472

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1861690067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 WINTER ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394525729",
            "telephone_number": "601-947-8472",
            "fax_number": "601-947-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 WINTER ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394525729",
            "telephone_number": "601-947-8472",
            "fax_number": "601-947-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCEDALE CHIROPRACTIC CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-947-8472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06421772",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "C02839",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jillian Langley, MA
• Christopher E Lansdown, M.D.
• Linda Le, RPH
• Legacy Care Coaches Agency by Cpwar
• Reese G Lindsey, DO
• Lucedale Chiropractic LLC
• Lucedale Family Medical Clinic
• Lucedale Intermediate School
• Lucedale OB/GYN Center
• Lucedale OBGYN Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.