Organization Active NPI

Emmanuel Ridge Chiropractic Services

  • Radiology Chiropractor
  • Florence, MS
National Provider Identifier
1871660852
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology ChiropractorTaxonomy code 111NR0200X
License
0972 Issued in MS
Legal business name
EMMANUEL RIDGE CHIROPRACTIC SERVICES
Practice address
2073 Highway 49 S
Suite C
Florence, MS 39073-9422
Phone
(601) 709-3304
Fax
(601) 709-3308
NPI assigned
Nov 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ronald B Little, D.CNPI 1902825474
Title
Chiropractor
Phone
(601) 709-3304

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
Radiology Chiropractor 111NR0200X 0972 MS Primary

Addresses

Primary practice location

2073 Highway 49 S
Suite C
Florence, MS 39073-9422

Mailing address

2073 Highway 49 S
Suite C
Florence, MS 39073-9422
Phone (601) 709-3304

Other identifiers 1

IdentifierTypeStateIssuer
0120084MedicaidMS

National Provider Directory

National Provider Directory

Locations

2073 Highway 49 S
Ste C
Florence, MS 39073
Phone (601) 709-3304

4801 N State St
Ste 116
Jackson, MS 39206
Phone (601) 845-3544

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871660852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 HIGHWAY 49 S",
            "address_2": "SUITE C",
            "city": "FLORENCE",
            "state": "MS",
            "postal_code": "390739422",
            "telephone_number": "601-709-3304",
            "fax_number": "601-709-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 HIGHWAY 49 S",
            "address_2": "SUITE C",
            "city": "FLORENCE",
            "state": "MS",
            "postal_code": "390739422",
            "telephone_number": "601-709-3304",
            "fax_number": "601-709-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL RIDGE CHIROPRACTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "601-709-3304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "MS",
            "license": "0972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0120084",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.