Active NPI
Jack Michael Harless, D.C.
- Chiropractor
- Centerville Finance, OH
National Provider Identifier
1376622126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3061
- Practice address
- 7677 Paragon Rd # D1
Centerville Finance, OH 45459-4068 - Phone
- (937) 435-8480
- NPI assigned
- Nov 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3061 | OH | Primary |
Addresses
Primary practice location
7677 Paragon Rd # D1
Centerville Finance, OH 45459-4068
Mailing address
7185 Bigger LN
Centerville Finance, OH 45459-4907
Phone (937) 433-7328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 296740715-00 | Other | OH | OBWC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3061 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holten Chiropractic Center PC | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Centerville, OH
- NPI 1104908136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376622126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7185 BIGGER LN",
"city": "CENTERVILLE FINANCE",
"state": "OH",
"postal_code": "454594907",
"telephone_number": "937-433-7328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7677 PARAGON RD # D1",
"city": "CENTERVILLE FINANCE",
"state": "OH",
"postal_code": "454594068",
"telephone_number": "937-435-8480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLESS",
"first_name": "JACK",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "3061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OBWC",
"identifier": "296740715-00",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Centerville Finance, OH
- Dermatology Laser Surgery Center Inc (Dr Palmer)
- Dong S. Moon,M.D.,Inc. (New Perspectives)
- Ellen Kubay Adkins (south dayton psychotherapy center)
- April Getchell, PA-C
- Cynthia M Gillotti, CRC
- John G. Hasbrouck, DDS
- Health Appraisal Systems, Inc.
- Thomas William Heitkemper, PHD
- Cisty Jane Karacia, MSSW, LISW
- Brian Thomas Kernan, DDS
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.