Jessica Lynne Charles, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14611 Issued in TX

Practice address

4801 S Buckner Blvd Ste 200
Dallas, TX 75227-2372

Phone

(214) 381-7700

NPI assigned

Apr 5, 2021

Last updated

Apr 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beulah Family Clinic Professional Limited Liability CompanyGroup PAC ID 3779924048, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/BFGEDD

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.

• Beulah Family Clinic Professional Limited Liability Company

  • Clinic/Center
  • Desoto, TX
  • NPI 1750144150
  Medicare reassignment Care Compare group NPD
• Hephzibah Visiting Clinicians

  • Family Nurse Practitioner
  • Desoto, TX
  • NPI 1083101075
  Medicare reassignment NPD
• Alignment and Motion Chiropractic PLLC

  • Chiropractor
  • Grand Prairie, TX
  • NPI 1124978127
  NPD Authorized official
• Buckner Family Medical Association, PA

  dba Patients Choice Family Medicine and Rehab

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1437106945
  NPD
• Hands on Health Wellness Center

  • Chiropractor
  • Carrollton, TX
  • NPI 1003434259
  NPD

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1104405497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S BUCKNER BLVD STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752272372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S BUCKNER BLVD STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752272372",
            "telephone_number": "214-381-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles R. Crane, M.D. and Associates
• Charles W Bradley DDS PA
• Allen Charles, DDS
• Angelina Charles, FNP
• Eddie Josee Charles
• Pamela Ann Charles
• Semantha Natasha Charles, DDS
• Todae Charles
• Trina Ann Charlesworth, LCSW
• Charlie's Pharmacy ( DME )

• Chiropractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.