Nanamae LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NANAMAE LLC

Doing business as

Smith Chiropractic

Practice address

1401 E Rusk St
Jacksonville, TX 75766-3400

Phone

(903) 586-1536

NPI assigned

Oct 9, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jaymond Ryan Clark, D.C.

Title

Chief Executive

Phone

(903) 586-1536

Specialties & licenses 1

Addresses

Other names 1

• Smith Chiropractic Doing business as

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1487081360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E RUSK ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757663400",
            "telephone_number": "903-586-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E RUSK ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757663400",
            "telephone_number": "903-586-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANAMAE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JAYMOND",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "903-586-1536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Jacksonville, TX
• Providers in Jacksonville, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.