Individual provider Active NPI

Jason L Deboer, D.C.

  • Chiropractor
  • Asheville, NC
National Provider Identifier
1093806358
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3882 Issued in NC
Practice address
30 Town Square Blvd
Suite #204
Asheville, NC 28803-5066
Phone
(828) 209-1900
Fax
(828) 209-1910
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3882 NC Primary

Addresses

Primary practice location

30 Town Square Blvd
Suite #204
Asheville, NC 28803-5066

Mailing address

30 Town Square Blvd
Suite #204
Asheville, NC 28803-5066
Phone (828) 209-1900

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
3654OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Acton Family Chiropractic Chiropractor Past Accepting new patients
Chiropractic Physicians at Biltmore Chiropractor Past Accepting new patients
Pray Enterprises, Inc Chiropractor Past Accepting new patients
Advanced Chirorpactic Care PLLC Chiropractor Past Accepting new patients

Organizations & group practices 4

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1093806358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TOWN SQUARE BLVD",
            "address_2": "SUITE #204",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288035066",
            "telephone_number": "828-209-1900",
            "fax_number": "828-209-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TOWN SQUARE BLVD",
            "address_2": "SUITE #204",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288035066",
            "telephone_number": "828-209-1900",
            "fax_number": "828-209-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOER",
        "first_name": "JASON",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.