Individual provider Active NPI

Jacob Cody Sauser, D.C.

  • Chiropractor
  • Jonesboro, AR
National Provider Identifier
1356442479
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1678 Issued in AR
Practice address
1115 S Main St
Jonesboro, AR 72401-4023
Phone
(870) 932-7822
Fax
(870) 932-4017
NPI assigned
Sep 25, 2006
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1678 AR Primary

Addresses

Primary practice location

1115 S Main St
Jonesboro, AR 72401-4023

Mailing address

2100 E Matthews Ave
Jonesboro, AR 72401-4332
Phone (870) 931-3722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060428000606 AR Practitioner - Chiropractic 4284641192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2100 E Matthews Ave
Jonesboro, AR 72401-4341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Betts Family Chiropractic Inc Chiropractor CurrentSince Feb 22, 2016 Accepting new patients
Betts Clinic LLC Chiropractor PastSince Jan 19, 2025 Accepting new patients

Locations

2100 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 930-9200

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1356442479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E MATTHEWS AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014332",
            "telephone_number": "870-931-3722",
            "fax_number": "870-802-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S MAIN ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014023",
            "telephone_number": "870-932-7822",
            "fax_number": "870-932-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUSER",
        "first_name": "JACOB",
        "middle_name": "CODY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.