Active NPI
Jacob Henry Birkhead
- Massage Therapist
- Kings Mountain, NC
National Provider Identifier
1265008841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 19139
- Practice address
- 110 W King St Ste 2
Kings Mountain, NC 28086-3437 - Phone
- (704) 739-3373
- NPI assigned
- Jun 3, 2021
- Last updated
- Jun 3, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 19139 | NC | Primary |
Addresses
Primary practice location
110 W King St Ste 2
Kings Mountain, NC 28086-3437
Mailing address
164 W Walnut Ave
Mount Holly, NC 28120-1883
Phone (919) 943-8969
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | drnmagar@chirohealthassociates.com | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19139 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622678400000",
"number": "1265008841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 W WALNUT AVE",
"city": "MOUNT HOLLY",
"state": "NC",
"postal_code": "281201883",
"telephone_number": "919-943-8969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W KING ST STE 2",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280863437",
"telephone_number": "704-739-3373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRKHEAD",
"first_name": "JACOB",
"middle_name": "HENRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-03",
"last_updated": "2021-06-03",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "19139",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "drnmagar@chirohealthassociates.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "110 W King St Ste 2",
"city": "Kings Mountain",
"state": "NC",
"country_code": "US",
"postal_code": "280863437",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kings Mountain, NC
- Beam & Wease of Kings Mountain Inc (KM Pharmacy)
- Beam & Wease of Kings Mountain, Inc. (KM Pharmacy)
- Kierra Trenise Bell, DPT
- Wendy Patterson Benton, RPH
- Bio-Medical Applications of North Carolina, Inc. (Bma Kings Mountain)
- Angelica Lynn Bohl, PHARMD
- Katay C Bouttamy, D.O.
- Laura Propst Boyd, PHARMD
- Kristin Neely Bradley, OTR
- Lindsey Bridges, RN, BCEN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.