Organization Active NPI

JC Chiropractic, LLC

  • Chiropractor
  • Jefferson City, MO
National Provider Identifier
1144450065
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2009001038 Issued in MO
Legal business name
JC CHIROPRACTIC, LLC
Practice address
2707 W Edgewood Dr Ste 104
Jefferson City, MO 65109-5886
Phone
(573) 893-9800
NPI assigned
Jul 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Authorized official

Name
Marc A Ferrin, DC
Title
Owner
Phone
(573) 893-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2009001038 MO Primary

Addresses

Primary practice location

2707 W Edgewood Dr Ste 104
Jefferson City, MO 65109-5886

Mailing address

2707 W Edgewood Dr Ste 104
Jefferson City, MO 65109-5886

National Provider Directory

National Provider Directory

Locations

2707 W Edgewood Dr
Ste 104
Jefferson Cty, MO 65109
Phone (573) 410-2887

305 W Newton St
Versailles, MO 65084
Phone (573) 893-9800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1144450065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 W EDGEWOOD DR STE 104",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 W EDGEWOOD DR STE 104",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095886",
            "telephone_number": "573-893-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "FERRIN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-893-9800",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2009001038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.