Individual provider Active NPI

Jason Haddock, D.C.

  • Chiropractor
  • Florence, AL
National Provider Identifier
1063573376
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2093 Issued in AL
Practice address
223 Cox Creek Pkwy
Florence, AL 35630-1535
Phone
(256) 766-1987
Fax
(256) 766-1924
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2093 AL Primary

Addresses

Primary practice location

223 Cox Creek Pkwy
Florence, AL 35630-1535

Mailing address

223 Cox Creek Pkwy
Florence, AL 35630-1535
Phone (256) 766-1987

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040817001226 AL Practitioner - Chiropractic 4486627452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

223 Cox Creek Pkwy
Florence, AL 35630-1535
Phone (256) 766-1987

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2093ALMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jason Haddock Chiropractic, Inc Chiropractor CurrentSince Apr 25, 2005 Accepting new patients
French Chiropractic and Wellness Services Chiropractor Past Accepting new patients

Locations

223 Cox Creek Pkwy
Florence, AL 35630
Phone (256) 766-1987

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063573376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 COX CREEK PKWY",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301535",
            "telephone_number": "256-766-1987",
            "fax_number": "256-766-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 COX CREEK PKWY",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301535",
            "telephone_number": "256-766-1987",
            "fax_number": "256-766-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDOCK",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.