Organization Active NPI

JP Chiropractic LLC

  • Chiropractor
  • Charleston, SC
National Provider Identifier
1407405327
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JP CHIROPRACTIC LLC
Practice address
1012 Physicians Dr Ste 102
Charleston, SC 29414-5719
Phone
(843) 473-7246
NPI assigned
Sep 4, 2019
Last updated
Feb 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Jason Pero, DCNPI 1740541481
Title
Member/Owner
Phone
(734) 657-0926

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

1012 Physicians Dr Ste 102
Charleston, SC 29414-5719

Mailing address

1012 Physicians Dr Ste 102
Charleston, SC 29414-5719
Phone (843) 473-7246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200225002968 SC Part B Supplier - Clinic/Group Practice 7113354457 Receives reassigned benefits from 1 practitioner
Practice locations: Charleston, SC

National Provider Directory

National Provider Directory

Locations

903 Saint Andrews Blvd
Ste B
Charleston, SC 29407
Phone (843) 225-4357

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1407405327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 PHYSICIANS DR STE 102",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145719",
            "telephone_number": "843-473-7246",
            "fax_number": "843-279-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 PHYSICIANS DR STE 102",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145719",
            "telephone_number": "843-473-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JP CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "PERO",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "734-657-0926",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.