Jason Dale Clewis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3442 Issued in NC

Practice address

315 Page Rd
Suite 11
Pinehurst, NC 28374-8751

Phone

(910) 295-1215

Fax

(910) 295-1814

NPI assigned

Feb 22, 2006

Last updated

Sep 30, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Pinehurst Chiropractic IncGroup PAC ID 2860402781, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pinehurst Chiropractic Inc

  • Chiropractor
  • Pinehurst, NC
  • NPI 1902975865
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1306811310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 PAGE RD",
            "address_2": "SUITE 11",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748751",
            "telephone_number": "910-295-1215",
            "fax_number": "910-295-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 PAGE RD",
            "address_2": "SUITE 11",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748751",
            "telephone_number": "910-295-1215",
            "fax_number": "910-295-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEWIS",
        "first_name": "JASON",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Nicole Cid, PHARMD
• Cile H Williamson MD Gynecology
• Vito V Cirigliano, DO
• Bobbi S Clark, AGNP
• Taylor Clay
• Tommie D Clewis, DC
• Maebre Rendale Clinard
• Stephen Scott Cline
• Amy Cloninger, FNP-BC
• Corinne M Cochran, NNP

• Chiropractor in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.