Active NPI
Jason Grant Harrison, D.C.
- Chiropractor
- Danville, IN
National Provider Identifier
1386790954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002304A
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200850290 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxlife Chiropractic | Current | Accepting new patients | |
| Dettwiler Chiropractic, L.L.C. | Chiropractor | Current | Accepting new patients |
| Prowellness Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
| Freedom Chiropractic Inc | Chiropractor | Past | 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.
-
- Sports Physician Chiropractor
- Fishers, IN
- NPI 1659794790
-
- Chiropractor
- Fishers, IN
- NPI 1548397771
-
- Chiropractor
- Fishers, IN
- NPI 1790973154
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.