Active NPI
Jonathan Eric Nance, D.C.
- Chiropractor
- Lumberton, NC
National Provider Identifier
1477625135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3149
- Practice address
- 4902 Fayetteville Rd
Lumberton, NC 28358-2110 - Phone
- (910) 739-6000
- Fax
- (910) 739-1792
- NPI assigned
- Nov 15, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 3149 | NC | Primary |
Addresses
Primary practice location
4902 Fayetteville Rd
Lumberton, NC 28358-2110
Mailing address
4902 Fayetteville Rd
Lumberton, NC 28358-2110
Phone (910) 739-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085YN | Other | NC | BCBSNC |
| 5904325 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050601000124 | NC | Practitioner - Chiropractic | 6608818604 | Practice locations: Lumberton, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4902 Fayetteville Rd
Lumberton, NC 28358-2110
Phone (910) 739-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1477625135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4902 FAYETTEVILLE RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582110",
"telephone_number": "910-739-6000",
"fax_number": "910-739-1792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4902 FAYETTEVILLE RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582110",
"telephone_number": "910-739-6000",
"fax_number": "910-739-1792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANCE",
"first_name": "JONATHAN",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3149",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "085YN",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5904325",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lumberton, NC
- Tamiko Cromartie Murphy, C ADC, LCAS-A
- Murphy's Outreach Community Developmental Services (Outreach Home Health Services)
- Farai Mutongwizo, DO
- Brian Torger Naig, O.D.
- Somnath Narayan Naik, M.D.
- Karen D Nance, LPC, NCC
- Josephine L Nantiba Omara, MD
- Native Solutions Therapeutic Services, PLLC
- NC Gaa PC
- Walter Neal Jr., M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.