NPIMap

Organization Active NPI

Gaskin Family Chiropractic, P.C.

  • Chiropractor
  • Vicksburg, MS
National Provider Identifier
1891906582
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0988 Issued in MS
Legal business name
GASKIN FAMILY CHIROPRACTIC, P.C.
Practice address
3425 Pemberton Square Blvd
Suite a
Vicksburg, MS 39180-5574
Phone
(601) 619-7122
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Dr. Kenya M Gaskin, D.C.NPI 1174583389
Title
President
Phone
(601) 619-7122

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0988 MS Primary

Addresses

Primary practice location

3425 Pemberton Square Blvd
Suite a
Vicksburg, MS 39180-5574

Mailing address

3425 Pemberton Square Blvd
Suite a
Vicksburg, MS 39180-5574
Phone (601) 619-7122

National Provider Directory

National Provider Directory

Locations

3425 Pemberton Square Blvd
#A
Vicksburg, MS 39180
Phone (601) 619-7122

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1891906582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 PEMBERTON SQUARE BLVD",
            "address_2": "SUITE A",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805574",
            "telephone_number": "601-619-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 PEMBERTON SQUARE BLVD",
            "address_2": "SUITE A",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805574",
            "telephone_number": "601-619-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASKIN FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "GASKIN",
        "authorized_official_first_name": "KENYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-619-7122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "0988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.