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DR. JUSTIN FORDE D.C.
NPI 1942623194
Chiropractor in Gulfport, MS

Active since January 23, 2014
1900 PASS RD, SUITE D, GULFPORT, MS 39501(228) 864-6159(228) 864-3186 Get Directions Write a Review

NPPES record last updated: January 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Justin Forde D.c. NPPES

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

DR. JUSTIN FORDE D.C. (NPI 1942623194) is an individual chiropractor in Gulfport, Mississippi, licensed in Mississippi (1218) and active in the NPI registry since January 2014. He is a graduate of Life Chiropractic College (2013).

NPPES Registry Identity

NPI1942623194
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JUSTIN FORDECredential: D.C.
Location Address1900 PASS RD, SUITE DGulfport, MS 39501-5100
Mailing Address1900 Pass Rd, Suite DGulfport, MS 39501-5100 · (228) 864-6159 · Fax (228) 864-3186
Phone(228) 864-6159
Fax(228) 864-3186
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2013
Enumeration DateJanuary 23, 2014
✔ NPI 1942623194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MS · 1218
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.
1900 PASS RD, Gulfport, MS 39501
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Justin Forde D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951534007
PECOS Enrollment IDI20140428000550

Other Providers at the Same Location NPPES 3

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

CHIROPRACTIC LIFE CENTER LLC
Chiropractor
1900 PASS RD, STE D
GULFPORT, MS 39501
Harrison County (228) 864-6159
MOTION, LLC
Chiropractor
1900 PASS RD, SUITE D
GULFPORT, MS 39501
Harrison County (228) 864-6159
DR. CANDICE FORDE D.C.
Chiropractor
1900 PASS RD, SUITE D
GULFPORT, MS 39501
Harrison County (228) 864-6159

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 Justin Forde's NPI number?

The NPI number for Justin Forde is 1942623194. It was assigned to this individual provider in the NPPES registry on January 23, 2014.

Where is Justin Forde located?

Justin Forde practices at 1900 Pass Rd Suite D, Gulfport, MS 39501. The listed phone number is (228) 864-6159.

What is Justin Forde's specialty?

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

Is Justin Forde enrolled in Medicare?

Yes. Justin Forde is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Forde was last updated on January 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.