NPIMap

Organization Active NPI

J.N. St John LLC

Doing business as St John Family Chiropractic Clinic

  • Chiropractor
  • Easley, SC
National Provider Identifier
1396949699
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1533 Issued in SC
Legal business name
J.N. ST JOHN LLC
Doing business as
St John Family Chiropractic Clinic
Practice address
300 E a Ave
Easley, SC 29640-2104
Phone
(864) 855-1523
Fax
(864) 855-0380
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
Mr. Jerry Nicholas St John, DC
Title
Owner
Phone
(864) 855-1523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 1533 SC Primary

Addresses

Primary practice location

300 E a Ave
Easley, SC 29640-2104

Mailing address

300 E a Ave
Easley, SC 29640-2104
Phone (864) 855-1523

Other names 1

  • St John Family Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1396949699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E A AVE",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296402104",
            "telephone_number": "864-855-1523",
            "fax_number": "864-855-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E A AVE",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296402104",
            "telephone_number": "864-855-1523",
            "fax_number": "864-855-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.N. ST JOHN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "ST JOHN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-855-1523",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St John Family Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.