Individual provider Active NPI

Jonathan Skeries, D.C.

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1326104373
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4878 Issued in KY
Practice address
332 W Broadway Ste 801
Louisville, KY 40202-2133
Phone
(502) 581-1107
NPI assigned
Dec 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 4878 KY Primary

Addresses

Primary practice location

332 W Broadway Ste 801
Louisville, KY 40202-2133

Mailing address

156 Michigan CT Apt 1
Shepherdsville, KY 40165-7162
Phone (502) 543-8357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4878KYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Family Chiropractic East Louisville PSC Chiropractor Past Accepting new patients
Louisville Sports and Injury Center Inc Chiropractor PastSince Apr 2, 2020 Accepting new patients

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, 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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326104373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 MICHIGAN CT APT 1",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401657162",
            "telephone_number": "502-543-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 W BROADWAY STE 801",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022133",
            "telephone_number": "502-581-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKERIES",
        "first_name": "JONATHAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.