DR. JOHN HENRY DESUTTER D.C.
NPI 1780791202
Chiropractor in Olive Branch, MS

Active since August 23, 2006Accepts Medicare Assignment
9659 E. GOODMAN AVE, OLIVE BRANCH, MS 38654(662) 895-2501(662) 895-3464 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Henry Desutter D.c. NPPES

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

DR. JOHN HENRY DESUTTER D.C. (NPI 1780791202) is an individual chiropractor in Olive Branch, Mississippi, licensed in Mississippi (0059) and active in the NPI registry since August 2006. He is a graduate of Palmer College Chiropractic - Davenport (1972).

NPPES Registry Identity

NPI1780791202
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JOHN HENRY DESUTTERCredential: D.C.
Location Address9659 E. GOODMAN AVEOlive Branch, MS 38654
Mailing Address9659 E. Goodman AveOlive Branch, MS 38654 · (662) 895-2501 · Fax (662) 895-3464
Fax(662) 895-3464
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1972
Enumeration DateAugust 23, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1780791202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MS · 0059
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.

9659 E. GOODMAN AVE, Olive Branch, MS 38654

Other Identifiers 1

Medicare UPINT21143

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. John Henry Desutter D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638331309
PECOS Enrollment IDI20120426000406

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
272 services37 patients

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 John Desutter's NPI number?

The NPI number for John Desutter is 1780791202. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is John Desutter located?

John Desutter practices at 9659 E. Goodman Ave, Olive Branch, MS 38654. The listed phone number is (662) 895-2501.

What is John Desutter's specialty?

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

Is John Desutter enrolled in Medicare?

Yes. John Desutter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for John Desutter was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.