Active NPI
Jill Brown Trull, DC
- Chiropractor
- Kannapolis, NC
National Provider Identifier
1003881087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1438
- Practice address
- 1739 Dale Earnhardt Blvd
Kannapolis, NC 28083-2102 - Phone
- (704) 938-1141
- Fax
- (704) 938-1143
- NPI assigned
- Feb 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1438 | NC | Primary |
Addresses
Primary practice location
1739 Dale Earnhardt Blvd
Kannapolis, NC 28083-2102
Mailing address
1739 Dale Earnhardt Blvd
Kannapolis, NC 28083
Phone (704) 938-1141
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08849 | Other | NC | BCBSNC |
| 8908849 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100908000286 | NC | Practitioner - Chiropractic | 7719001155 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1438 | NC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cannon Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
Locations
1739 Dale Earnhardt Blvd
Kannapolis, NC 28083
Phone (704) 323-7991
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Health Chiropractor
- Kannapolis, NC
- NPI 1548976566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325203200000",
"number": "1003881087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1739 DALE EARNHARDT BLVD",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "28083",
"telephone_number": "704-938-1141",
"fax_number": "704-938-1143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1739 DALE EARNHARDT BLVD",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280832102",
"telephone_number": "704-938-1141",
"fax_number": "704-938-1143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRULL",
"first_name": "JILL",
"middle_name": "BROWN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2011-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1438",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "08849",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908849",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kannapolis, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.