Appalachian Chiropractic, PSC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5465 Issued in KY

Legal business name

APPALACHIAN CHIROPRACTIC, PSC

Practice address

26317 US Highway 119 N
Belfry, KY 41514-7417

Phone

(606) 519-3543

NPI assigned

Jul 24, 2015

Organization subpart

No

Name

Dr. Jarrod Thacker, D.C.NPI 1205217783

Title

Owner

Phone

(606) 422-2515

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jarrod Thacker, D.C.

  • Chiropractor
  • Belfry, KY
  • NPI 1205217783
  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2015.

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1639554256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26317 US HIGHWAY 119 N",
            "city": "BELFRY",
            "state": "KY",
            "postal_code": "415147417",
            "telephone_number": "606-519-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26317 US HIGHWAY 119 N",
            "city": "BELFRY",
            "state": "KY",
            "postal_code": "415147417",
            "telephone_number": "606-519-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN CHIROPRACTIC, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "THACKER",
        "authorized_official_first_name": "JARROD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-422-2515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Appalachian Regional Healthcare, Inc.
• Appalachian Regional Healthcare, Inc.
• Tobby Floyd Blankenship
• Gabriel Brian Carrillo, DO
• Shelby Carter, LPN

• All providers in Belfry, KY
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.