Active NPI
Jason Anthony Palmer, D.C.
- Chiropractor
- Redlands, CA
National Provider Identifier
1740418771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 30254
- Practice address
- 1235 Indiana CT
Suite 105
Redlands, CA 92374-4540 - Phone
- (909) 793-4515
- NPI assigned
- Jun 29, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 30254 | CA | Primary |
Addresses
Primary practice location
1235 Indiana CT
Suite 105
Redlands, CA 92374-4540
Mailing address
1235 Indiana CT
Suite 105
Redlands, CA 92374-4540
Phone (909) 793-4515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1092 S Ponce de Leon Blvd
Suite K
St Augustine, FL 32084-6018
Phone (904) 460-2923
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 30254 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiro & Laser St. Augustine, PLLC | Current | Accepting new patients | |
| Chiro & Laser Pain Relief Center of St Augustine LLC | Chiropractor | Past | Accepting new patients |
| Bugg Chiropractic Inc. | Chiropractor | Past | Accepting new patients |
Locations
1092 S Ponce de Leon Blvd
#K
Saint Augustine, FL 32084
Phone (904) 460-2923
Organizations & group practices 3
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.
-
- Health Service Clinic/Center
- St Augustine, FL
- NPI 1578204459
-
- Chiropractor
- Redlands, CA
- NPI 1811644859
-
- Chiropractor
- St Augustine, FL
- NPI 1114401544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390435200000",
"number": "1740418771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 INDIANA CT",
"address_2": "SUITE 105",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923744540",
"telephone_number": "909-793-4515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 INDIANA CT",
"address_2": "SUITE 105",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923744540",
"telephone_number": "909-793-4515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "JASON",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-29",
"last_updated": "2014-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 30254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.