Individual provider Active NPI

Jeremy Ungerank, D.C.

  • Chiropractor
  • Cabot, AR
National Provider Identifier
1023350733
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16005 Issued in AR
Practice address
2241 Bill Foster Memorial Hwy Ste F
Cabot, AR 72023-7221
Phone
(501) 831-4425
Fax
(501) 941-4424
NPI assigned
Mar 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16005 AR Primary

Addresses

Primary practice location

2241 Bill Foster Memorial Hwy Ste F
Cabot, AR 72023-7221

Mailing address

365 Heffner Rd
Austin, AR 72007-8810
Phone (501) 831-4425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130723000648 AR Practitioner - Chiropractic 6406097120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2241 Bill Foster Memorial Hwy
Suite F
Cabot, AR 72023-7221
Phone (501) 286-7726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16005ARMDChiropractor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1023350733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 HEFFNER RD",
            "city": "AUSTIN",
            "state": "AR",
            "postal_code": "720078810",
            "telephone_number": "501-831-4425",
            "fax_number": "501-941-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 BILL FOSTER MEMORIAL HWY STE F",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237221",
            "telephone_number": "501-831-4425",
            "fax_number": "501-941-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGERANK",
        "first_name": "JEREMY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.