Jessica A Myers, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009253 Issued in MI

Practice address

6665 Western Ave
Glen Arbor, MI 49636-5103

Phone

(231) 334-3123

Fax

(231) 334-3123

NPI assigned

Mar 20, 2007

Last updated

Dec 18, 2023By 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

Other names 1

• Jessica A Carden Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1124143821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 E NARLOCK RD",
            "city": "MAPLE CITY",
            "state": "MI",
            "postal_code": "496648767",
            "telephone_number": "231-334-3123",
            "fax_number": "231-334-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6665 WESTERN AVE",
            "city": "GLEN ARBOR",
            "state": "MI",
            "postal_code": "496365103",
            "telephone_number": "231-334-3123",
            "fax_number": "231-334-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JESSICA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CARDEN",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Enhanced Physical Therapy Incorporated
• Heather Marie Ford, LMSW
• Keith Alan Gaede, R.PH.
• Glen Arbor Township (Glen Lake Fire Department)
• Charles J Kinzel, PHARMACIST
• Revive Chiropractic, PLLC
• The Prescription Shop of Glen Arbor, Inc

• Chiropractor in Glen Arbor, MI
• Providers in Glen Arbor, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.