Evolution Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

180-0494 Issued in NH

Legal business name

EVOLUTION CHIROPRACTIC LLC

Practice address

640 Marlboro St Ste 1
Keene, NH 03431-4049

Phone

(603) 313-0617

Fax

(603) 461-3277

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeb Thurmond, DCNPI 1104040799

Title

Owner

Phone

(603) 313-0617

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

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.

• Jeb Robertson Thurmond, DC

  • Chiropractor
  • Keene, NH
  • NPI 1104040799
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1366624512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 MARLBORO ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034314049",
            "telephone_number": "603-338-0231",
            "fax_number": "855-461-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 MARLBORO ST STE 1",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034314049",
            "telephone_number": "603-313-0617",
            "fax_number": "603-461-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "THURMOND",
        "authorized_official_first_name": "JEB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-313-0617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "180-0494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikayla D Essex
• Karen A Estey, CRSW
• Meghan Akerley Estey, PSY.D
• Quentin R. Estey Jr., CRSW
• Evening Hours Walk-in Clinic LLC
• Monika Faber, MS, CAGS, LCMHC
• Claire B Fabian, MD
• Paul David Fachada, DPM
• Sabryn Farashahi
• Patrice G Faust

• Chiropractor in Keene, NH
• Providers in Keene, NH by specialty
• Chiropractor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.