Albracht-Jacoby Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9723 Issued in TX

Legal business name

ALBRACHT-JACOBY CHIROPRACTIC CLINIC

Doing business as

Keith S. Jacoby DC

Practice address

2009 S Coulter St
Amarillo, TX 79106-2521

Phone

(806) 353-1208

Fax

(806) 352-1401

NPI assigned

Mar 31, 2008

Last updated

Sep 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keith S Jacoby, DCNPI 1346333887

Title

Chiropractor

Phone

(806) 353-1208

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Keith S. Jacoby DC 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, and the practitioner matching its NPPES authorized official.

• Keith S Jacoby, D.C.

  • Chiropractor
  • Amarillo, TX
  • NPI 1346333887
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1265604292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062521",
            "telephone_number": "806-353-1208",
            "fax_number": "806-352-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062521",
            "telephone_number": "806-353-1208",
            "fax_number": "806-352-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBRACHT-JACOBY CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "JACOBY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "806-353-1208",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "608046",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keith S. Jacoby DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Albracht Orthopedic Surgery PLLC
• Brendan C Albracht, D.O.
• David E Albracht Sr., D.C.
• Douglas A Albracht, D.O.
• Alcom Systems, LLC
• Amanda L Aldaco, COTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.