JKM LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JKM LLC

Doing business as

JayMac Chiropractic

Practice address

22711 S Ellsworth Rd # G106
Queen Creek, AZ 85142-6788

Phone

(480) 264-6800

Fax

(480) 300-4688

NPI assigned

Dec 18, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jason Derek McDonald, DCNPI 1477971711

Title

Owner/Chiropractor

Phone

(480) 264-6800

Specialties & licenses 1

Addresses

Other names 1

• JayMac Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Jason Derek McDonald, DC

  • Chiropractor
  • Queen Creek, AZ
  • NPI 1477971711
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1083186969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22711 S ELLSWORTH RD # G106",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426788",
            "telephone_number": "480-264-6800",
            "fax_number": "480-300-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22711 S ELLSWORTH RD # G106",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426788",
            "telephone_number": "480-264-6800",
            "fax_number": "480-300-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DEREK",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "480-264-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JayMac Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JayMac Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jennifer Jean Job, OTA-L
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• Holli Johnson, OTR/L
• Jennifer Nicole Finney Johnson, BCBA, LBA
• Joseph A Johnson

• Chiropractor in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.