Individual provider Active NPI

Michael J. Jokerst, D.C.

  • Chiropractor
  • Irmo, SC
National Provider Identifier
1295704146
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2898 Issued in SC
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GCH477MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040430001058 SC Practitioner - Chiropractic 0547258444 Reassigns benefits to 2 organizations

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

OrganizationSpecialtyStatusNew patients
Irmo Family Chiropractic, Inc Chiropractor CurrentSince Jul 20, 2004 Accepting new patients
Unified Family Health Center LLC CurrentSince Jan 13, 2020 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.

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.

Verify at the official NPI Registry.