Organization Active NPI

Long Chiropractic PLLC

  • Chiropractor
  • Cleveland, MS
National Provider Identifier
1902176373
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1184 Issued in MS
Legal business name
LONG CHIROPRACTIC PLLC
Practice address
810 E Sunflower Rd
Suite 100 E
Cleveland, MS 38732-2800
Phone
(662) 721-4496
Fax
(662) 721-4497
NPI assigned
Jan 3, 2012
Last updated
Jan 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Authorized official

Name
Dr. Joy Victoria Long, DCNPI 1184994634
Title
Doctor of Chiropractic
Phone
(662) 721-4496

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 1184 MS Primary

Addresses

Primary practice location

810 E Sunflower Rd
Suite 100 E
Cleveland, MS 38732-2800

Mailing address

PO Box 69
Cleveland, MS 38732-0069
Phone (662) 721-4496

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120124000797 MS Part B Supplier - Clinic/Group Practice 4284801762 Receives reassigned benefits from 1 practitioner
Practice locations: Cleveland, MS

National Provider Directory

National Provider Directory

Locations

810 E Sunflower Rd
Ste 100E
Cleveland, MS 38732
Phone (662) 721-4496

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": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1902176373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387320069",
            "telephone_number": "662-721-4496",
            "fax_number": "662-721-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E SUNFLOWER RD",
            "address_2": "SUITE 100 E",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322800",
            "telephone_number": "662-721-4496",
            "fax_number": "662-721-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "662-721-4496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.