Individual provider Active NPI

Chad Richard Espeland, D.C.

  • Chiropractor
  • Richland, MS
National Provider Identifier
1871564229
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
946 Issued in MS
Practice address
1201 Highway 49 S
Suite 34
Richland, MS 39218-9438
Phone
(601) 936-6940
Fax
(601) 936-9930
NPI assigned
Feb 1, 2006
Last updated
Dec 3, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 946 MS Primary

Addresses

Primary practice location

1201 Highway 49 S
Suite 34
Richland, MS 39218-9438

Mailing address

1201 Highway 49 S
Suite 34
Richland, MS 39218-9438
Phone (601) 936-6940

Other identifiers 1

IdentifierTypeStateIssuer
00119455MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120222000698 MS Practitioner - Chiropractic 6305004326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Services Inc.Group PAC ID 8325117153, 2 clinicians

Practice addresses (Care Compare)

4294 Lakeland Dr
Suite 100
Flowood, MS 39232-9510
Phone (601) 936-6650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
946MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Services Inc. Chiropractor CurrentSince Oct 9, 1997 Accepting new patients

Locations

4294 Lakeland Dr
Ste 100
Flowood, MS 39232
Phone (601) 936-6650

1201 Highway 49 S
Richland, MS 39218
Phone (601) 932-8609

1201 Highway 49 S
Ste 34
Richland, MS 39218
Phone (601) 936-6940

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1871564229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 HIGHWAY 49 S",
            "address_2": "SUITE 34",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "392189438",
            "telephone_number": "601-936-6940",
            "fax_number": "601-936-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HIGHWAY 49 S",
            "address_2": "SUITE 34",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "392189438",
            "telephone_number": "601-936-6940",
            "fax_number": "601-936-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPELAND",
        "first_name": "CHAD",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119455",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.