Active NPI
Jerald L Jones, D.C.
- Chiropractor
- Fort Rucker, AL
National Provider Identifier
1144209933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2120
- Practice address
- 301 Andrews Ave.
Lyster Army Health Clinic, Chiropractic Clinic
Ft. Rucker, AL 36362 - Phone
- (334) 225-7706
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2120 | TN | Primary |
| Chiropractor | 111N00000X | 2730 | OH |
Addresses
Primary practice location
301 Andrews Ave.
Lyster Army Health Clinic, Chiropractic Clinic
Ft. Rucker, AL 36362
Mailing address
301 Andrews Ave.
Lyster Army Health Clinic
Ft. Rucker, AL 36362
Phone (334) 225-7706
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2730 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273795200000",
"number": "1144209933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 ANDREWS AVE.",
"address_2": "LYSTER ARMY HEALTH CLINIC",
"city": "FT. RUCKER",
"state": "AL",
"postal_code": "36362",
"telephone_number": "334-225-7706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 ANDREWS AVE.",
"address_2": "LYSTER ARMY HEALTH CLINIC, CHIROPRACTIC CLINIC",
"city": "FT. RUCKER",
"state": "AL",
"postal_code": "36362",
"telephone_number": "334-225-7706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JERALD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2010-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "2120",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "2730",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Rucker, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.