Organization Active NPI

Jamison DC Inc

  • Chiropractor
  • Erie, PA
National Provider Identifier
1073980751
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010197 Issued in PA
Legal business name
JAMISON DC INC
Practice address
1005 Peninsula Dr
Erie, PA 16505-4159
Phone
(814) 835-0911
Fax
(814) 835-0623
NPI assigned
Aug 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Authorized official

Name
Jack JamisonNPI 1386972495
Title
President
Phone
(814) 835-0911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC010197 PA Primary

Addresses

Primary practice location

1005 Peninsula Dr
Erie, PA 16505-4159

Mailing address

1005 Peninsula Dr
Erie, PA 16505-4159
Phone (814) 835-0911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160407000779 PA Part B Supplier - Clinic/Group Practice 9032417043 Receives reassigned benefits from 1 practitioner
Practice locations: Erie, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1073980751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 PENINSULA DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054159",
            "telephone_number": "814-835-0911",
            "fax_number": "814-835-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 PENINSULA DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054159",
            "telephone_number": "814-835-0911",
            "fax_number": "814-835-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMISON DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-835-0911"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.

Verify at the official NPI Registry.