Jeter Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8141 Issued in TX

Legal business name

JETER CHIROPRACTIC PC

Practice address

316 E House St
Alvin, TX 77511-3546

Phone

(281) 331-4213

Fax

(281) 331-2700

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Vincent Jeter, DCNPI 1801881172

Title

Owner

Phone

(281) 331-4213

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ALVIN CHIROPRACTIC CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Vincent Jeter, D.C

  • Chiropractor
  • Alvin, TX
  • NPI 1801881172
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1164646337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1385",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775121385",
            "telephone_number": "281-331-4213",
            "fax_number": "281-331-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E HOUSE ST",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775113546",
            "telephone_number": "281-331-4213",
            "fax_number": "281-331-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JETER CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-331-4213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002075201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALVIN CHIROPRACTIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annie Laurie Irbe, MSN, APRN, AGACNP-BC
• Misty Ann Jackson, RN
• Shari Aleene Jackson, M.D.
• Jeffrey Azbill
• Christi Renee Jensen, MSN, RN, FNP
• Jeter Chiropractic PC
• Vincent Jeter, D.C
• Cassaundra Renee Johnson
• Sarah Ruth Johnson, FNP-C
• Kourtni Elania Jones, LPC

• Chiropractor in Alvin, TX
• Providers in Alvin, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.