Jacob Roy Harden, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 11495 Issued in FL

Practice address

1325 S International Pkwy
Suite 1221
Lake Mary, FL 32746-1695

Phone

(817) 694-1433

NPI assigned

Apr 6, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palmer College FoundationGroup PAC ID 1557266863, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Palmer College Foundation

  dba Palmer College of Chiropractic Florida

  • Chiropractor
  • Port Orange, FL
  • NPI 1568552255
  Medicare reassignment Care Compare group NPD
• Palmer College Foundation

  dba Palmer Chiropractic Clinic

  • Chiropractor
  • Davenport, IA
  • NPI 1174535181
  NPD

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1174918205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S INTERNATIONAL PKWY",
            "address_2": "SUITE 1221",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461695",
            "telephone_number": "817-694-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S INTERNATIONAL PKWY",
            "address_2": "SUITE 1221",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461695",
            "telephone_number": "817-694-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEN",
        "first_name": "JACOB",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan A Hampshire, RBT
• Katlin Marie Hamrick, PTA
• William James Hanney V, RBT
• Abbie Hanson
• Barbara J Hanson, CNM ARNP
• Harper Health LLC (Primera Specialty Infusion)
• Taurean Letavia Harper
• Jamie Beth Harrell, PHARMD
• Nancy Ann Harrington, LPTA
• Harris Chiropractic Clinic Inc

• Chiropractor in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.