Active NPI
Jeremy Eric Thompson, D.C.
- Chiropractor
- Jacksonville, FL
National Provider Identifier
1225213259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9504
- Practice address
- 9726 Touchton Rd Ste 301
Jacksonville, FL 32246-8307 - Phone
- (904) 772-6522
- Fax
- (904) 772-6553
- NPI assigned
- Jan 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CH9504 | FL | |
| Chiropractor | 111N00000X | CH9504 | FL | Primary |
Addresses
Primary practice location
9726 Touchton Rd Ste 301
Jacksonville, FL 32246-8307
Mailing address
11707 Tierra Verde LN
Jacksonville, FL 32258-1531
Phone (904) 703-3505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bartram Chiropractic Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Jacksonville, FL
- NPI 1871244178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1225213259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11707 TIERRA VERDE LN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322581531",
"telephone_number": "904-703-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9726 TOUCHTON RD STE 301",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322468307",
"telephone_number": "904-772-6522",
"fax_number": "904-772-6553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "JEREMY",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-09",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "FL",
"license": "CH9504",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.