Clear Families Chiropractic LLC
Organization Active NPI Chiropractor · Gulfport, MS
NPI 1962998112 · NPPES record last updated Jul 10, 2018
Key facts
- NPI
- 1962998112
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- CLEAR FAMILIES CHIROPRACTIC LLC
- Practice address
- 15007 Creosote Rd Ste a
Gulfport, MS 39503-4392 - Phone
- (228) 533-2733
- NPI assigned
- Jul 10, 2018
- Organization subpart
- No
Authorized official
- Name
- Anthony Lopez
- Title
- Doctor
- Phone
- (228) 533-2733
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180907002531 | MS | Part B Supplier - Clinic/Group Practice | 0749530970 |
Receives reassigned benefits from 1 practitioner Practice locations: Gulfport, MS |
National Provider Directory
Locations
15007 Creosote Rd
Ste E
Gulfport, MS 39503
Phone (228) 533-2733
15007 Creosote Rd
Ste A
Gulfport, MS 39503
Phone (228) 533-2733
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
15007 Creosote Rd Ste a
Gulfport, MS 39503-4392
Mailing address
15007 Creosote Rd Ste a
Gulfport, MS 39503-4392
Phone (228) 533-2733
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.