Ladner Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1080 Issued in MS

Legal business name

LADNER CHIROPRACTIC PC

Practice address

28284 Highway 603
Perkinston, MS 39573-3793

Phone

(228) 255-8099

Fax

(228) 255-8098

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Dinell Moran, CA

Title

Office Manager

Phone

(228) 255-8099

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1962620385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28284 HIGHWAY 603",
            "city": "PERKINSTON",
            "state": "MS",
            "postal_code": "395733793",
            "telephone_number": "228-255-8099",
            "fax_number": "228-255-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28284 HIGHWAY 603",
            "city": "PERKINSTON",
            "state": "MS",
            "postal_code": "395733793",
            "telephone_number": "228-255-8099",
            "fax_number": "228-255-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADNER CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "DINELL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "228-255-8099",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04154238",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03533331",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Brenna R Ladner, RN
• Theresa Danyell McKissick, APRN
• Jordan Marie Peterson
• Dana Sharp
• Surgicalfirst, LLC

• Chiropractor in Perkinston, MS
• Providers in Perkinston, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.