Individual provider Active NPI

De'Sondra McSwain, DC

  • Chiropractor
  • Hattiesburg, MS
National Provider Identifier
1902497134
Registry record updated Jan 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1327 Issued in MS
Practice address
2737 Oak Grove Rd
Hattiesburg, MS 39402
Phone
(601) 749-4939
Fax
(769) 301-1641
NPI assigned
Jan 31, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1327 MS Primary

Addresses

Primary practice location

2737 Oak Grove Rd
Hattiesburg, MS 39402

Mailing address

PO Box 326
Picayune, MS 39466

Other practice location 1

203 W Main Ave
Lumberton, MS 39455
Phone (601) 749-4939

Other practice location 2

121 Front St
Purvis, MS 39475
Phone (601) 749-4939

Other practice location 3

6682 Hwy 11N Ste 103
Carriere, MS 39426
Phone (601) 749-4939

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210908000617 MS Practitioner - Chiropractic 1759787377 Reassigns benefits to 1 organization
Practice locations: Hattiesburg, MS

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1327MSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Chiropractic Clinic Hattiesburg PLLC Chiropractor CurrentSince Feb 7, 2021 Accepting new patients
D. L. Moore & Associates, Inc Chiropractor Past Accepting new patients
D. L. Moore & Associates, Inc Chiropractor PastSince Dec 16, 2020 Accepting new patients

Locations

2737 Oak Grove Rd
Hattiesburg, MS 39402
Phone (601) 336-7253

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1612051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612051200000",
    "number": "1902497134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "39466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 OAK GROVE RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-749-4939",
            "fax_number": "769-301-1641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 W Main Ave",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "MS",
            "postal_code": "39455",
            "country_code": "US",
            "telephone_number": "601-749-4939",
            "fax_number": "769-301-1641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Front St",
            "address_purpose": "LOCATION",
            "city": "Purvis",
            "state": "MS",
            "postal_code": "39475",
            "country_code": "US",
            "telephone_number": "601-749-4939",
            "fax_number": "769-301-1641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6682 Hwy 11N Ste 103",
            "address_purpose": "LOCATION",
            "city": "Carriere",
            "state": "MS",
            "postal_code": "39426",
            "country_code": "US",
            "telephone_number": "601-749-4939",
            "fax_number": "769-301-1641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCSWAIN",
        "first_name": "DE'SONDRA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-31",
        "last_updated": "2021-01-31",
        "certification_date": "2021-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2021; 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.