Individual provider Active NPI

Jared Heath, DC

  • Chiropractor
  • Fayetteville, NC
National Provider Identifier
1518716539
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5769 Issued in NC
Practice address
6415 Brookstone LN Ste 102
Fayetteville, NC 28314-0075
Phone
(910) 867-1612
NPI assigned
May 13, 2024
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5769 NC Primary

Addresses

Primary practice location

6415 Brookstone LN Ste 102
Fayetteville, NC 28314-0075

Mailing address

6415 Brookstone LN Ste 102
Fayetteville, NC 28314-0075

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240719000023 NC Practitioner - Chiropractic 5799221305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6415 Brookstone LN
Suite 102
Fayetteville, NC 28314-0075
Phone (910) 867-1612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5769NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Chiropractic PLLC Chiropractor CurrentSince May 24, 2024 Accepting new patients
Carolina Family Chiropractic PA Chiropractor CurrentSince May 19, 2024 Accepting new patients

Locations

6415 Brookstone Ln
Ste 102
Fayetteville, NC 28314
Phone (910) 867-1612

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1518716539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 BROOKSTONE LN STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6415 BROOKSTONE LN STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140075",
            "telephone_number": "910-867-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATH",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.

Verify at the official NPI Registry.