BOONEVILLE CHIROPRACTIC CLINIC, P.A.
NPI 1154697910
Clinic/Center in Booneville, MS

Q: What is Booneville Chiropractic Clinic, P.A.'s NPI number?

The NPI number for Booneville Chiropractic Clinic, P.A. is 1154697910. It was assigned to this organization in the NPPES registry on March 27, 2012.

Q: What is Booneville Chiropractic Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since March 27, 2012

105B N 2ND ST, BOONEVILLE, MS 38829(662) 728-7414(662) 728-4163 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Booneville Chiropractic Clinic, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOONEVILLE CHIROPRACTIC CLINIC, P.A. (NPI 1154697910) is a healthcare organization registered as a clinic/center in Booneville, Mississippi and active in the NPI registry since March 2012. The organization lists Derrick Roy Blythe, President, as its authorized official.

NPPES Registry Identity

NPI1154697910

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameBOONEVILLE CHIROPRACTIC CLINIC, P.A.

Location Address105B N 2ND STBooneville, MS 38829-3207

Mailing Address105b N 2nd StBooneville, MS 38829-3207 · (662) 728-7414 · Fax (662) 728-4163

Phone(662) 728-7414

Fax(662) 728-4163

Organization SubpartNo

Authorized OfficialDerrick Roy BlythePresident · (662) 728-7414

Enumeration DateMarch 27, 2012

✔ NPI 1154697910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in MS · 885

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

105B N 2ND ST, Booneville, MS 38829

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Other Identifiers 2

Medicare PIN350000154MS

Medicare UPINU47118MS

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Booneville Chiropractic Clinic, P.A.'s NPI number?

The NPI number for Booneville Chiropractic Clinic, P.A. is 1154697910. It was assigned to this organization in the NPPES registry on March 27, 2012.

Where is Booneville Chiropractic Clinic, P.A. located?

Booneville Chiropractic Clinic, P.A. is located at 105B N 2nd St, Booneville, MS 38829. The listed phone number is (662) 728-7414.

What is Booneville Chiropractic Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Booneville Chiropractic Clinic, P.A. was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.