Jack D Herd, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001119L Issued in PA

Practice address

2704 Market Street
Camp Hill, PA 17011-4531

Phone

(717) 737-1681

Fax

(717) 731-1648

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Herd Chiropractic Clinic PC

  • Chiropractor
  • Camp Hill, PA
  • NPI 1093877524
  Medicare reassignment NPD

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730225491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 MARKET STREET",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114531",
            "telephone_number": "717-737-1681",
            "fax_number": "717-731-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 MARKET STREET",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114531",
            "telephone_number": "717-737-1681",
            "fax_number": "717-731-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERD",
        "first_name": "JACK",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "001119L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROV #S HERD",
            "identifier": "1438356001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELECTRONIC BILLING",
            "identifier": "BSPBU5R84005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBERS HERD",
            "identifier": "001119L",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROV #S CLINIC",
            "identifier": "2512627",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROV #S CARVER",
            "identifier": "1704734001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHLINK",
            "identifier": "CALORAD",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROV #S DINCHER",
            "identifier": "5751845001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHLINK",
            "identifier": "JH018019",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELECTRONIC BILLING",
            "identifier": "MEDICAREPRJ15T8001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Hennings
• Nathalie Henrie, PA-C
• Pamela Gail Hensal, RN
• Beth Herbster, LSW
• Herd Chiropractic Clinic PC
• Heritage Medical Group, LLP
• Heritage Medical Group, LLP
• Heritage Medical Group, LLP
• Heritage Medical Group, LLP
• Janelle Hernandez Avitia

• Chiropractor in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.