Individual provider Active NPI

Jason Pierce, D.C.

  • Chiropractor
  • Daphne, AL
National Provider Identifier
1467531103
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1899 Issued in AL
Practice address
26180 Equity Dr Ste a
Daphne, AL 36526-6162
Phone
(251) 621-9500
Fax
(251) 621-9540
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1899 AL Primary

Addresses

Primary practice location

26180 Equity Dr Ste a
Daphne, AL 36526-6162

Mailing address

26180 Equity Dr Ste a
Daphne, AL 36526-6162
Phone (251) 621-9500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080911000299 AL Practitioner - Chiropractic 5991871113 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1899ALMDHealth Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pierce Specific Chiropractic, P.C. CurrentSince Jan 1, 2001 Accepting new patients

Locations

26180 Equity Dr
Ste A
Daphne, AL 36526
Phone (251) 621-9500

28895 Pierce Ln
Loxley, AL 36551
Phone (251) 621-9500

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1467531103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26180 EQUITY DR STE A",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365266162",
            "telephone_number": "251-621-9500",
            "fax_number": "251-621-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26180 EQUITY DR STE A",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365266162",
            "telephone_number": "251-621-9500",
            "fax_number": "251-621-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.