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CEDAR LAKE CHIROPRACTIC INC.
NPI 1598000309
Chiropractor in Biloxi, MS

Active since December 05, 2012
935 CEDAR LAKE RD, BILOXI, MS 39532(228) 392-4000(228) 392-4001 Get Directions Write a Review

NPPES record last updated: December 5, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cedar Lake Chiropractic Inc. NPPES

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

CEDAR LAKE CHIROPRACTIC INC. (NPI 1598000309) is a healthcare organization registered as a chiropractor in Biloxi, Mississippi and active in the NPI registry since December 2012. The organization lists Jarrett Dale Johnson, President/doctor, as its authorized official.

NPPES Registry Identity

NPI1598000309
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCEDAR LAKE CHIROPRACTIC INC.
Location Address935 CEDAR LAKE RDBiloxi, MS 39532-2128
Mailing Address935 Cedar Lake RdBiloxi, MS 39532-2128 · (228) 392-4000 · Fax (228) 392-4001
Phone(228) 392-4000
Fax(228) 392-4001
Organization SubpartNo
Authorized OfficialJarrett Dale JohnsonPresident/doctor · (228) 392-4000
Enumeration DateDecember 5, 2012
✔ NPI 1598000309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MS · 1052
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.
935 CEDAR LAKE RD, Biloxi, MS 39532
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Other Identifiers 2

Medicare UPINU96823
Medicaid02733326MS

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cedar Lake Chiropractic Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cedar Lake Chiropractic Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Jarrett Johnson, DC
Chiropractic
NPI 1629030572
935 CEDAR LAKE RD
Biloxi, MS 39532
(228) 424-4593
✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Cedar Lake Chiropractic Inc.'s NPI number?

The NPI number for Cedar Lake Chiropractic Inc. is 1598000309. It was assigned to this organization in the NPPES registry on December 5, 2012.

Where is Cedar Lake Chiropractic Inc. located?

Cedar Lake Chiropractic Inc. is located at 935 Cedar Lake Rd, Biloxi, MS 39532. The listed phone number is (228) 392-4000.

What is Cedar Lake Chiropractic Inc.'s specialty?

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

Is Cedar Lake Chiropractic Inc. enrolled in Medicare?

Yes. Cedar Lake Chiropractic Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cedar Lake Chiropractic Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Cedar Lake Chiropractic Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cedar Lake Chiropractic Inc. was last updated on December 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.