Individual provider Active NPI

Jonathan David Jameson, D.C.

  • Chiropractor
  • Maumelle, AR
National Provider Identifier
1639457708
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15751 Issued in AR
Practice address
123 Audubon Dr
Ste. #700
Maumelle, AR 72113-5500
Phone
(501) 851-6685
Fax
(501) 851-6495
NPI assigned
Jul 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15751 AR Primary

Addresses

Primary practice location

123 Audubon Dr
Ste. #700
Maumelle, AR 72113-5500

Mailing address

5507 Ranch Dr
Ste 3
Little Rock, AR 72223-4538
Phone (501) 673-3110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120410000568 AR Practitioner - Chiropractic 2769643287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5507 Ranch Dr
Suite 3
Little Rock, AR 72223-4538
Phone (501) 673-3110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15751ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Chiropractic Chiropractor CurrentSince Mar 1, 2016 Accepting new patients
Investec Inc. Chiropractor PastSince Jun 1, 2016 Accepting new patients
Perry County Chiropractic, LLC Chiropractor Past Accepting new patients
Skinner Chiropractic PLLC Chiropractor Past Accepting new patients

Locations

5507 Ranch Dr
Ste 3
Little Rock, AR 72223
Phone (501) 673-3110

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1311379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1639457708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5507 RANCH DR",
            "address_2": "STE 3",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234538",
            "telephone_number": "501-673-3110",
            "fax_number": "501-673-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 AUDUBON DR",
            "address_2": "STE. #700",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721135500",
            "telephone_number": "501-851-6685",
            "fax_number": "501-851-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMESON",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-23",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "15751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumelle, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.