Organization Active NPI

Dr.Jeremy McKelroy

  • Chiropractor
  • Jonesboro, AR
National Provider Identifier
1720273675
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR.JEREMY MCKELROY
Practice address
300 Southwest SQ
Jonesboro, AR 72401-5984
Phone
(870) 802-9355
Fax
(870) 802-1057
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Dr. Jeremy T McKelroy, D.C.
Title
Owner
Phone
(870) 802-9355

Specialties & licenses 1

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

Addresses

Primary practice location

300 Southwest SQ
Jonesboro, AR 72401-5984

Mailing address

300 Southwest SQ
Jonesboro, AR 72401-5984
Phone (870) 802-9355

Other names 1

  • MCKELROY FAMILY CHIROPRACTIC Former legal business name

National Provider Directory

National Provider Directory

Locations

300 Southwest Sq
Jonesboro, AR 72401
Phone (870) 336-0220

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": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1720273675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SOUTHWEST SQ",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015984",
            "telephone_number": "870-802-9355",
            "fax_number": "870-802-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SOUTHWEST SQ",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015984",
            "telephone_number": "870-802-9355",
            "fax_number": "870-802-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.JEREMY MCKELROY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "MCKELROY",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-802-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCKELROY FAMILY CHIROPRACTIC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Nov 1, 2007; 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.