J. Kyle Eaton, D.C., P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2011 Issued in AL

Legal business name

J. KYLE EATON, D.C., P.C.

Practice address

2753 Highway 195
Jasper, AL 35503-6241

Phone

(205) 221-2442

Fax

(205) 221-2437

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Kyle Eaton, D.C.

Title

President

Phone

(205) 221-2442

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

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

• Jonthan Kyle Eaton, D.C.

  • Chiropractor
  • Jasper, AL
  • NPI 1104983832
  Medicare reassignment NPD

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356469308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2753 HIGHWAY 195",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355036241",
            "telephone_number": "205-221-2442",
            "fax_number": "205-221-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 HIGHWAY 195",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355036241",
            "telephone_number": "205-221-2442",
            "fax_number": "205-221-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. KYLE EATON, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-221-2442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Jasper, AL
• Providers in Jasper, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.