HERNDON CHIROPRACTIC LLC (NPI# 1740760552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740760552 |
| Entity Type | Organization |
| Organization Name | HERNDON CHIROPRACTIC LLC |
| Practice Address |
2087 Cliff Gookin Blvd Tupelo MS 38801-6724 |
| Practice Telephone | 6628428413 |
| Practice Fax Number | 6628443292 |
| Mailing Telephone | 6628428413 |
| Mailing Fax Number | 6628443292 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |
| Authorized Official Name | DR. RON HERNDON (ADMINISTRATOR) |
| Authorized Official Telephone | 6628428413 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 399 | MS | Chiropractic Providers |
| Street Address |
2087 CLIFF GOOKIN BLVD |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-6724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366677023 | Dan Robbins Mathews Jr. | Chiropractor | 144 S Industrial Rd, Tupelo, MS 38801-4620 | 2009-05-26 |
| 1831360106 | Harvey R. Rabinowitz | Chiropractor | 517 N Gloster St, Tupelo, MS 38804-3627 | 2008-03-14 |
| 1548472467 | Robert W. Youngblood | Chiropractor | 2434 W Main St Ste B, Tupelo, MS 38801-3148 | 2007-05-04 |
| 1053462036 | Ron Herndon | Chiropractor | 2087 Cliff Gookin Blvd., Tupelo, MS 38801 | 2007-01-16 |
| 1003977646 | Matt Mackey | Chiropractor | 398 N Eason Blvd, Tupelo, MS 38804-7500 | 2006-12-13 |
| 1861581894 | Robert L Goodwin | Chiropractor | 1444 Cliff Gookin Blvd, Tupelo, MS 38801-6477 | 2006-10-11 |
| 1780026484 | Goodwin and Goodwin Pllc | Chiropractor | 1444 Cliff Gookin Blvd, Tupelo, MS 38801-6477 | 2013-07-23 |
| 1417101452 | Robert Lee Foster | Chiropractor | 2301 W Main St, Suite C, Tupelo, MS 38801-3145 | 2008-11-04 |
| 1639231228 | William Barlow | Chiropractor | 398 N Eason Blvd, Tupelo, MS 38804-7500 | 2006-12-14 |
| 1689736274 | Bmr Chiropractic, PC | Chiropractor | 398 N Eason Blvd, Tupelo, MS 38804-7500 | 2006-12-14 |
| Find all providers in TUPELO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.