1. Home
  2. Directory
  3. Mississippi
  4. Gulfport
  5. Chiropractor
  6. NPI Profile

BACK ROOM
NPI 1386905412
Chiropractor in Gulfport, MS

Active since June 05, 2012
15312 DEDEAUX RD, SUITE A, GULFPORT, MS 39503(228) 331-2035 Get Directions Write a Review

NPPES record last updated: June 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Back Room NPPES

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

BACK ROOM (NPI 1386905412) is a healthcare organization registered as a chiropractor in Gulfport, Mississippi and active in the NPI registry since June 2012. The organization lists Katanya Ford, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1386905412
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBACK ROOM
Location Address15312 DEDEAUX RD, SUITE AGulfport, MS 39503-3123
Mailing Address15312 Dedeaux Rd, Suite AGulfport, MS 39503-3123 · (228) 331-2035
Phone(228) 331-2035
Organization SubpartNo
Authorized OfficialKatanya FordChiropractor · (228) 331-2035
Enumeration DateJune 5, 2012
Last NPPES UpdateJune 13, 2012
✔ NPI 1386905412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MS · 1162
Definition
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.
15312 DEDEAUX RD, Gulfport, MS 39503
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEREZ VISION CLINIC
Optometrist
15312 DEDEAUX RD
GULFPORT, MS 39503
Harrison County (228) 831-0515

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 Back Room's NPI number?

The NPI number for Back Room is 1386905412. It was assigned to this organization in the NPPES registry on June 5, 2012.

Where is Back Room located?

Back Room is located at 15312 Dedeaux Rd Suite A, Gulfport, MS 39503. The listed phone number is (228) 331-2035.

What is Back Room's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Back Room was last updated on June 13, 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.