Chiropractic Evolved LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIROPRACTIC EVOLVED LLC

Practice address

7164 Hacks Cross Rd Ste 110
Olive Branch, MS 38654-3907

Phone

(662) 420-7073

Fax

(662) 420-7581

NPI assigned

Dec 5, 2012

Last updated

Dec 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nikolas Ramone Chillies, D.CNPI 1629010467

Title

Doctor

Phone

(662) 420-7073

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 2

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.

• Nikolas Ramone Chillies, D.C.

  • Chiropractor
  • Olive Branch, MS
  • NPI 1629010467
  Medicare reassignment Authorized official
• Emily L Hart, LMT

  • Massage Therapist
  • Olive Branch, MS
  • NPI 1417847153
  NPD

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1891030631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7164 HACKS CROSS RD STE 110",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543907",
            "telephone_number": "662-420-7073",
            "fax_number": "662-420-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7164 HACKS CROSS RD STE 110",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543907",
            "telephone_number": "662-420-7073",
            "fax_number": "662-420-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC EVOLVED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "CHILLIES",
        "authorized_official_first_name": "NIKOLAS",
        "authorized_official_middle_name": "RAMONE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "662-420-7073",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Champion Transportation, LLC
• Lisa Chandler, M.D.
• John Sonny Chea, DPT
• Teresa Chenault
• Nikolas Ramone Chillies, D.C.
• City of Olive Branch (Olive Branch Fire Dept. Ambulance)
• Heather Nicole Clayton, LPC
• Latoya Cole, NCC
• Karissa Diane Coleman, LPC
• Greene Berry Colvin IV, MD

• Chiropractor in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.