Individual provider Active NPI

John Jason Cherry, D.C., M.S.

  • Chiropractor
  • Grass Valley, CA
National Provider Identifier
1558500132
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31101 Issued in CA
Practice address
123 Margaret LN
Suitea2
Grass Valley, CA 95945-5268
Phone
(530) 575-9104
NPI assigned
Feb 5, 2009
Last updated
May 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 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 31101 CA Primary

Addresses

Primary practice location

123 Margaret LN
Suitea2
Grass Valley, CA 95945-5268

Mailing address

761 Chalice Creek Dr
Plumas Lake, CA 95961-8970
Phone (530) 441-8675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
31101CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ellyson Chiropractic Corporation Chiropractor PastSince Jan 1, 2005 Accepting new patients

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, 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": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1558500132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 CHALICE CREEK DR",
            "city": "PLUMAS LAKE",
            "state": "CA",
            "postal_code": "959618970",
            "telephone_number": "530-441-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MARGARET LN",
            "address_2": "SUITEA2",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455268",
            "telephone_number": "530-575-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "JOHN",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.C., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-05",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.