Organization Active NPI

Sherrod Chiropractic, PLC

  • Chiropractor
  • Jonesboro, AR
National Provider Identifier
1699086553
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15710 Issued in AR
Legal business name
SHERROD CHIROPRACTIC, PLC
Practice address
2512 Alexander Dr
Suite B
Jonesboro, AR 72401-7175
Phone
(870) 934-8481
Fax
(870) 934-8469
NPI assigned
Jun 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Dr. Jason A Sherrod, D.C.NPI 1265755607
Title
Owner/Provider
Phone
(870) 934-8481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 15710 AR Primary

Addresses

Primary practice location

2512 Alexander Dr
Suite B
Jonesboro, AR 72401-7175

Mailing address

2512 Alexander Dr
Suite B
Jonesboro, AR 72401-7175
Phone (870) 934-8481

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100814000219 AR Part B Supplier - Clinic/Group Practice 9537293477 Receives reassigned benefits from 1 practitioner
Practice locations: Jonesboro, AR

National Provider Directory

National Provider Directory

Locations

2512 Alexander Dr
#B
Jonesboro, AR 72401
Phone (870) 934-8481

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1699086553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 ALEXANDER DR",
            "address_2": "SUITE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017175",
            "telephone_number": "870-934-8481",
            "fax_number": "870-934-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 ALEXANDER DR",
            "address_2": "SUITE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017175",
            "telephone_number": "870-934-8481",
            "fax_number": "870-934-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERROD CHIROPRACTIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "SHERROD",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "870-934-8481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "15710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.