Active NPI
Michael J. Jokerst, D.C.
- Chiropractor
- Irmo, SC
National Provider Identifier
1295704146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2898
- Practice address
- 7210D Broad River Rd
Irmo, SC 29063-7972 - Phone
- (803) 732-6635
- Fax
- (803) 732-6635
- NPI assigned
- Mar 14, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2898 | SC | Primary |
Addresses
Primary practice location
7210D Broad River Rd
Irmo, SC 29063-7972
Mailing address
7210D Broad River Rd
Irmo, SC 29063-7972
Phone (803) 732-6635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GCH477 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1032 Kinley Rd
A
Irmo, SC 29063-9632
Phone (803) 732-6635
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Irmo Family Chiropractic, Inc | Chiropractor | Current | Accepting new patients |
| Unified Family Health Center LLC | Current | Accepting new patients |
Locations
1032A Kinley Rd
Irmo, SC 29063
Phone (803) 612-0830
7210G Broad River Rd
Irmo, SC 29063
Phone (803) 407-5266
1032 Kinley Rd
#A
Irmo, SC 29063
Phone (803) 612-0830
Organizations & group practices 2
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
- Irmo, SC
- NPI 1457539728
-
- Family Nurse Practitioner
- Irmo, SC
- NPI 1568001642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295704146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7210D BROAD RIVER RD",
"city": "IRMO",
"state": "SC",
"postal_code": "290637972",
"telephone_number": "803-732-6635",
"fax_number": "803-732-6635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7210D BROAD RIVER RD",
"city": "IRMO",
"state": "SC",
"postal_code": "290637972",
"telephone_number": "803-732-6635",
"fax_number": "803-732-6635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOKERST",
"first_name": "MICHAEL",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "2898",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GCH477",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irmo, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.