Individual provider Active NPI

Jason Grant Harrison, D.C.

  • Chiropractor
  • Danville, IN
National Provider Identifier
1386790954
Registry record updated Sep 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002304A Issued in IN
Practice address
1300 E Main St
Danville, IN 46122-1983
Phone
(317) 745-5111
Fax
(317) 745-2435
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002304A IN Primary

Addresses

Primary practice location

1300 E Main St
Danville, IN 46122-1983

Mailing address

1300 E Main St
Danville, IN 46122-1983
Phone (810) 610-3047

Other identifiers 1

IdentifierTypeStateIssuer
200850290MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070510000140 IN Practitioner - Chiropractic 3274639174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9865 E 116TH St
Suite 150
Fishers, IN 46037-9239
Phone (317) 808-5675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maxlife Chiropractic CurrentSince Apr 21, 2014 Accepting new patients
Dettwiler Chiropractic, L.L.C. Chiropractor CurrentSince Apr 29, 2014 Accepting new patients
Prowellness Chiropractic, P.C. Chiropractor PastSince Nov 9, 2010 Accepting new patients
Freedom Chiropractic Inc Chiropractor PastSince Feb 29, 2016 Accepting new patients

Locations

9865 E 116th St
Ste 150
Fishers, IN 46037
Phone (317) 808-5675

Organizations & group practices 4

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188777600000",
    "number": "1386790954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E MAIN ST",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221983",
            "telephone_number": "810-610-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E MAIN ST",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221983",
            "telephone_number": "317-745-5111",
            "fax_number": "317-745-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JASON",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002304A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200850290",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2007; 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.