Jackson Chiropractic Clinic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1085 Issued in OH

Legal business name

JACKSON CHIROPRACTIC CLINIC, INC.

Practice address

63 E South St
Jackson, OH 45640-1638

Phone

(740) 286-4890

Fax

(740) 286-6115

NPI assigned

Jan 28, 2008

Last updated

Jul 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Craig Kincaid, D.C.

Title

Owner

Phone

(740) 286-4890

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1326225756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 E SOUTH ST",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456401638",
            "telephone_number": "740-286-4890",
            "fax_number": "740-286-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 E SOUTH ST",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456401638",
            "telephone_number": "740-286-4890",
            "fax_number": "740-286-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "KINCAID",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-286-4890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9269911",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arthur Waverly Huntley II, D.O.
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• Alicia Ireland
• Ironton Physical Therapy Inc (Tri State Rehab Services)
• Payton Jade, Entler Israel
• Jackson City School District
• Jackson County Board on Aging, Inc.
• Jackson Dialysis and Kidney Center
• Jackson Family Practice LLC
• Jackson Foot and Ankle Clinic

• Chiropractor in Jackson, OH
• Providers in Jackson, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.