Organization Active NPI

Jerico, LLC

  • Chiropractor
  • Bluffton, SC
National Provider Identifier
1336446897
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2601 Issued in SC
Legal business name
JERICO, LLC
Practice address
134 Oak Forest Rd
Bluffton, SC 29910-6148
Phone
(843) 304-0757
NPI assigned
Feb 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Dr. Jerilyn Jean Vogelsang, D.C.
Title
Doctor/Owner
Phone
(843) 304-0757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2601 SC Primary

Addresses

Primary practice location

134 Oak Forest Rd
Bluffton, SC 29910-6148

Mailing address

134 Oak Forest Rd
Bluffton, SC 29910-6148
Phone (843) 304-0757

Other names 1

  • AAA Healthcare / Align Doing business as

National Provider Directory

National Provider Directory

Locations

19 Moss Creek Vlg
Ste B1
Hilton Head Island, SC 29926
Phone (843) 837-9355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1336446897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 OAK FOREST RD",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106148",
            "telephone_number": "843-304-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 OAK FOREST RD",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106148",
            "telephone_number": "843-304-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "VOGELSANG",
        "authorized_official_first_name": "JERILYN",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "843-304-0757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AAA Healthcare / Align",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.