Organization Active NPI

JNC Inc.

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1154619930
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5135 Issued in KY
Legal business name
JNC INC.
Practice address
10110 Dixie Hwy
Louisville, KY 40272-3948
Phone
(502) 937-7995
Fax
(502) 937-5560
NPI assigned
Jul 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Authorized official

Name
Dr. Jaime Gonzalez, D.C.NPI 1669443859
Title
Chiropractor
Phone
(502) 937-7995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5135 KY Primary

Addresses

Primary practice location

10110 Dixie Hwy
Louisville, KY 40272-3948

Mailing address

10110 Dixie Hwy
Louisville, KY 40272-3948
Phone (502) 937-7995

Other identifiers 1

IdentifierTypeStateIssuer
50019682MedicaidKY

Other names 1

  • FAMILY CARE CHIROPRACTIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110722000357 KY Part B Supplier - Clinic/Group Practice 3678741303 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

10110 Dixie Hwy
Louisville, KY 40272
Phone (502) 437-7995

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": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1154619930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402723948",
            "telephone_number": "502-937-7995",
            "fax_number": "502-937-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402723948",
            "telephone_number": "502-937-7995",
            "fax_number": "502-937-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "502-937-7995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50019682",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY CARE CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.