Individual provider Active NPI

Jason Nicholas Belcher, D.C.

  • Chiropractor
  • Wayne, WV
National Provider Identifier
1275970691
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12593 Issued in FL
Practice address
7355 US RT. 152
Wayne, WV 25570
Phone
(304) 522-6473
NPI assigned
May 24, 2013
Last updated
Oct 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH12593 FL Primary
Chiropractor 111N00000X 956 WV

Addresses

Primary practice location

7355 US RT. 152
Wayne, WV 25570

Mailing address

4705 Clyde Morris Blvd
Port Orange, FL 32129-4103
Phone (386) 763-2718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181116000685 FL Practitioner - Chiropractic 3577707413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edgewater Chiropractic Clinic, P.a.Group PAC ID 9436383783, 2 clinicians

Practice addresses (Care Compare)

201 S Ridgewood Ave
Suite 11
Edgewater, FL 32132-1935
Phone (386) 423-7575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
956WVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewater Chiropractic Clinic, P.a. Chiropractor CurrentSince Sep 9, 2025 Accepting new patients
Seabreeze Chiropractic LLC Chiropractor Current Accepting new patients
Ormond Beach Chiropractic LLC Chiropractor Past Accepting new patients
Thompson Chiropractic Corporation Chiropractor PastSince Aug 1, 2013 Accepting new patients

Locations

201 S Ridgewood Ave
Ste 11
Edgewater, FL 32132
Phone (386) 423-7575

570 Memorial Cir
Ste 100
Ormond Beach, FL 32174
Phone (386) 236-9765

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1275970691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 CLYDE MORRIS BLVD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321294103",
            "telephone_number": "386-763-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 US RT. 152",
            "city": "WAYNE",
            "state": "WV",
            "postal_code": "25570",
            "telephone_number": "304-522-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELCHER",
        "first_name": "JASON",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-24",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12593",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.