Organization Active NPI

Jessica Ann LLC

  • Chiropractor
  • Springfield, MO
National Provider Identifier
1508343039
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
LC001597788 Issued in MO
Legal business name
JESSICA ANN LLC
Doing business as
Journey To Health Chiropractic and Acupuncture
Practice address
1440 W Republic Rd Ste 112
Springfield, MO 65807-5754
Phone
(417) 459-5713
NPI assigned
Jul 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Dr. Jessica Ann Crocker, DC
Title
Owner
Phone
(417) 459-5713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X LC001597788 MO Primary

Addresses

Primary practice location

1440 W Republic Rd Ste 112
Springfield, MO 65807-5754

Mailing address

5561 S Pinehurst Ave
Springfield, MO 65810-2746
Phone (573) 528-6260

Other names 1

  • Journey To Health Chiropractic and Acupuncture Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1508343039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5561 S PINEHURST AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102746",
            "telephone_number": "573-528-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 W REPUBLIC RD STE 112",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075754",
            "telephone_number": "417-459-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA ANN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "CROCKER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-459-5713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "LC001597788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Journey To Health Chiropractic and Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.