Individual provider Active NPI

John Jacobs II, DC

  • Chiropractor
  • Loretto, TN
National Provider Identifier
1366801441
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2970 Issued in TN
Practice address
607A N Military St
Loretto, TN 38469-2341
Phone
(931) 231-4818
NPI assigned
Feb 17, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2483 AL
Chiropractor 111N00000X 2970 TN Primary

Addresses

Primary practice location

607A N Military St
Loretto, TN 38469-2341

Mailing address

PO Box 563
Loretto, TN 38469-0563
Phone (931) 231-4818

Other identifiers 1

IdentifierTypeStateIssuer
1497290704OtherTNLORETTO FAMILY CHIROPRACTIC NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170201001981 TN Practitioner - Chiropractic 0143515502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loretto Family ChiropracticGroup PAC ID 4880977693, 2 clinicians

Practice addresses (Care Compare)

607 A N Military St
Loretto, TN 38469-2341
Phone (931) 305-8107

Hospital & facility affiliations

  • Southern Tennessee Regional Health System Lawrence Hospital, Lawrenceburg, TN, CCN 440175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2483ALMDGerontology Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Loretto Family Chiropractic Chiropractor CurrentSince Jan 1, 2017 Accepting new patients
Abs 4 Life, LLC Chiropractor Past Accepting new patients

Locations

607A N Military St
Loretto, TN 38469
Phone (931) 231-4818

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1366801441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 563",
            "city": "LORETTO",
            "state": "TN",
            "postal_code": "384690563",
            "telephone_number": "931-231-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607A N MILITARY ST",
            "city": "LORETTO",
            "state": "TN",
            "postal_code": "384692341",
            "telephone_number": "931-231-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2483",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LORETTO FAMILY CHIROPRACTIC NPI",
            "identifier": "1497290704",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loretto, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.