CJ Chiropractic PSC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4007 Issued in KY

Legal business name

CJ CHIROPRACTIC PSC

Practice address

3101 Fern Valley Rd
Suite 13
Louisville, KY 40213-3523

Phone

(502) 938-7272

Fax

(502) 968-7116

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas V. Jacques, D.C.NPI 1861467136

Title

President

Phone

(502) 937-7000

Specialties & licenses 1

Addresses

Other names 1

• American Chiropractic-Okolona Doing business as

Practitioners 1

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

• Thomas Vincent Jacques, D.C.

  • Chiropractor
  • Louisville, KY
  • NPI 1861467136
  NPD (past) Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720171036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 FERN VALLEY RD",
            "address_2": "SUITE 13",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402133523",
            "telephone_number": "502-938-7272",
            "fax_number": "502-968-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 FERN VALLEY RD",
            "address_2": "SUITE 13",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402133523",
            "telephone_number": "502-938-7272",
            "fax_number": "502-968-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ CHIROPRACTIC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACQUES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-937-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Chiropractic-Okolona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn Cissell-Browne, APRN
• Amy M. Cissell, ARNP
• Sharon E Cissell, ARNP
• Citizensdx LLC
• Lizarie M Ciuro Vazquez, DC
• CJ Critical Care Transportation Systems of Ky Inc
• CJL Group, LLC
• Katherine Clagett
• Mathilde Alexandra Clairet
• Joseph Alvin Clan Jr., M.D.

• Chiropractor in Louisville, KY
• Providers in Louisville, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.