Active NPI
Jacky Ray Langston, DC
- Chiropractor
- Tuscumbia, AL
National Provider Identifier
1033107545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 744
- Practice address
- 115 E 5TH St
Tuscumbia, AL 35674-2409 - Phone
- (256) 383-6238
- Fax
- (256) 383-6234
- NPI assigned
- Oct 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 744 | AL | Primary |
Addresses
Primary practice location
115 E 5TH St
Tuscumbia, AL 35674-2409
Mailing address
PO Box 256
Tuscumbia, AL 35674-0256
Phone (256) 383-6238
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51002591 | Other | AL | BC/BS |
| 51073375 | Other | AL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 744 | AL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033107545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 256",
"city": "TUSCUMBIA",
"state": "AL",
"postal_code": "356740256",
"telephone_number": "256-383-6238",
"fax_number": "256-383-6234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E 5TH ST",
"city": "TUSCUMBIA",
"state": "AL",
"postal_code": "356742409",
"telephone_number": "256-383-6238",
"fax_number": "256-383-6234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGSTON",
"first_name": "JACKY",
"middle_name": "RAY",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "744",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "51002591",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "51073375",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tuscumbia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.