Individual provider Active NPI

Jason Bradford Jones, D.C.

  • Chiropractor
  • Elizabeth City, NC
National Provider Identifier
1346467859
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2862 Issued in NC
Practice address
706 W Ehringhaus St
Elizabeth City, NC 27909-6933
Phone
(252) 335-2225
Fax
(252) 331-7799
NPI assigned
Apr 19, 2007
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 2862 NC Primary

Addresses

Primary practice location

706 W Ehringhaus St
Elizabeth City, NC 27909-6933

Mailing address

114 Lauren LN
Camden, NC 27921-9648
Phone (252) 336-4807

Other identifiers 1

IdentifierTypeStateIssuer
89085C0MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071009000821 NC Practitioner - Chiropractic 3678669470

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

706 W Ehringhaus St
Elizabeth City, NC 27909-6933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2862NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jones Family Chiropractic, PC Chiropractor CurrentSince Mar 15, 2008 Accepting new patients

Locations

706 W Ehringhaus St
Elizabeth Cty, NC 27909
Phone (252) 335-2225

Organizations & group practices 1

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346467859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 LAUREN LN",
            "city": "CAMDEN",
            "state": "NC",
            "postal_code": "279219648",
            "telephone_number": "252-336-4807",
            "fax_number": "252-331-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W EHRINGHAUS ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096933",
            "telephone_number": "252-335-2225",
            "fax_number": "252-331-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JASON",
        "middle_name": "BRADFORD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085C0",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

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.