NPIMap

Organization Active NPI

Jaques Chiropractic L.L.C

  • Chiropractor
  • Cumming, GA
National Provider Identifier
1215211495
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008843 Issued in GA
Legal business name
JAQUES CHIROPRACTIC L.L.C
Practice address
6010 Southard Trce
Cumming, GA 30040-6343
Phone
(678) 947-3316
Fax
(678) 947-3317
NPI assigned
Oct 5, 2011
Last updated
Oct 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Dr. Jeremy Ryan Jaques, D.C.NPI 1336420157
Title
Owner
Phone
(678) 947-3316

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR008843 GA Primary

Addresses

Primary practice location

6010 Southard Trce
Cumming, GA 30040-6343

Mailing address

6010 Southard Trce
Cumming, GA 30040-6343
Phone (678) 947-3316

National Provider Directory

National Provider Directory

Locations

6010 Southard Trce
Cumming, GA 30040
Phone (678) 947-3316

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1215211495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 SOUTHARD TRCE",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406343",
            "telephone_number": "678-947-3316",
            "fax_number": "678-947-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 SOUTHARD TRCE",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406343",
            "telephone_number": "678-947-3316",
            "fax_number": "678-947-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAQUES CHIROPRACTIC L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "JAQUES",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-947-3316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.