Individual provider Active NPI

Jared Hyrum Pierson, DC

  • Chiropractor
  • Chandler, AZ
National Provider Identifier
1407283633
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8422 Issued in AZ
Practice address
4500 S Dobson Rd
Chandler, AZ 85248-4907
Phone
(480) 715-6112
Fax
(480) 715-6481
NPI assigned
Oct 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8422 AZ Primary

Addresses

Primary practice location

4500 S Dobson Rd
Chandler, AZ 85248-4907

Mailing address

11719 W Boll Bloom Dr
Marana, AZ 85653-7864
Phone (602) 405-2553

Other practice location 1

5000 W Chandler Blvd # 3-17
Chandler, AZ 85226-3601
Phone (480) 554-2323

Other names 1

  • Jared Hyrum Pierson Professional name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gladden Farms Chiropractic PLLC CurrentSince Feb 27, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1407283633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11719 W BOLL BLOOM DR",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856537864",
            "telephone_number": "602-405-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484907",
            "telephone_number": "480-715-6112",
            "fax_number": "480-715-6481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 W Chandler Blvd # 3-17",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852263601",
            "country_code": "US",
            "telephone_number": "480-554-2323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "JARED",
        "middle_name": "HYRUM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-02",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JARED",
            "last_name": "PIERSON",
            "middle_name": "HYRUM",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.