Active NPI
Jacob Ryan Quint, D.C.
- Chiropractor
- Calvert City, KY
National Provider Identifier
1053413864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5129
- Practice address
- 1665 Oak Park Blvd.
Calvert City, KY 42029 - Phone
- (270) 909-2200
- Fax
- (270) 909-2201
- NPI assigned
- Sep 2, 2006
- Last updated
- Aug 15, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-010700 | IL | |
| Chiropractor | 111N00000X | 5129 | KY | Primary |
Addresses
Primary practice location
1665 Oak Park Blvd.
Calvert City, KY 42029
Mailing address
2452 Deer Run Rd
Metropolis, IL 62960-6031
Phone (618) 564-2850
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 |
|---|---|---|---|
| 038-010700 | IL | MD | Chiropractor |
| 5129 | KY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey Don Lange | Chiropractor | Past | Accepting new patients |
| Glass Chiropractic and Wellness | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Metropolis, IL
- NPI 1558591222
-
- Chiropractor
- Metropolis, IL
- NPI 1285642256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218758400000",
"number": "1053413864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2452 DEER RUN RD",
"city": "METROPOLIS",
"state": "IL",
"postal_code": "629606031",
"telephone_number": "618-564-2850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1665 OAK PARK BLVD.",
"city": "CALVERT CITY",
"state": "KY",
"postal_code": "42029",
"telephone_number": "270-909-2200",
"fax_number": "270-909-2201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINT",
"first_name": "JACOB",
"middle_name": "RYAN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2008-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-010700",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "5129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calvert City, KY
- LP Calvert City, LLC (Oakview Nursing & Rehabilitation Center)
- Marshall County Health Department (Marshall County Health Department Calvert City Clinic)
- Leeann Mills
- Hayes Oliver
- Purchase Care LLC
- Richard I. Cocke Jr., P.S.C.
- Alison Nicole Roberts, M.S. CCC-SLP
- William Ross
- Gary Webster Smith, DMD
- Mary Jo Sprouse, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.