Jcas, Inc.
Organization Active NPI Chiropractor · Greenbrier, AR
NPI 1124146394 · NPPES record last updated Mar 9, 2023
Key facts
- NPI
- 1124146394
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1553 (AR)
- Legal business name
- JCAS, INC.
- Practice address
- 8-C Wilson Farm Road
Greenbrier, AR 72058-8200 - Phone
- (501) 679-6065
- Fax
- (501) 679-7311
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. John Joe Crum, D.C.
- Title
- Owner
- Phone
- (501) 679-6065
Corporate family (same tax ID) 1
Practitioners 4
-
Amy S Crum, D.C.
-
John Joe Crum, D.C.
-
Thomas K Dixon, DC
-
Savannah Norman, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110215000705 | AR | Part B Supplier - Clinic/Group Practice | 8820278344 |
Receives reassigned benefits from 4 practitioners Practice locations: Little Rock, AR; Greenbrier, AR |
National Provider Directory
- Tax ID family
- Greenbrier Family Chiro
Locations
8 Wilson Farm Rd
Ste C
Greenbrier, AR 72058
Phone (501) 679-6065
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 1553 | AR | Yes |
Addresses
Primary practice location
8-C Wilson Farm Road
Greenbrier, AR 72058-8200
Mailing address
PO Box 1082
Greenbrier, AR 72058-1082
Phone (501) 679-6065
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5C362 | Other | AR | BLUE CROSS BLUE SHIELD ID |
| 146027718 | Medicaid | AR |
Other names
- Greenbrier Family Chiro
Other providers in Greenbrier, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.