Individual provider Active NPI

Jessica Brown, D.C.

  • Chiropractor
  • Mesquite, TX
National Provider Identifier
1083036412
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12503 Issued in TX
Practice address
3334 N Town East Blvd Ste 102
Mesquite, TX 75150-3800
Phone
(972) 681-8321
Fax
(972) 613-8927
NPI assigned
Jan 21, 2014
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13952 FL
Chiropractor 111N00000X 12503 TX Primary

Addresses

Primary practice location

3334 N Town East Blvd Ste 102
Mesquite, TX 75150-3800

Mailing address

2461 Enterprise Rd Ste C
Clearwater, FL 33763-1726
Phone (277) 683-6610

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

LicenseStateTypeSpecialty
12503TXMDAddiction (Substance Use Disorder) Counselor
CH13952FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
100 Chiro Palm Harbor PLLC Chiropractor CurrentSince Apr 23, 2024 Accepting new patients
American Chiropractic Clinic Chiropractor PastSince May 18, 2017 Accepting new patients
American Integrated Healthcare PLLC Chiropractor PastSince Nov 8, 2018 Accepting new patients

Locations

33131 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 609-0199

Organizations & group practices 3

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": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1083036412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 ENTERPRISE RD STE C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337631726",
            "telephone_number": "277-683-6610",
            "fax_number": "972-613-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 N TOWN EAST BLVD STE 102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503800",
            "telephone_number": "972-681-8321",
            "fax_number": "972-613-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-21",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13952",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.