Organization Active NPI

J and M Chiropractic Enterprises Inc

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1760608483
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0008125 Issued in FL
Legal business name
J AND M CHIROPRACTIC ENTERPRISES INC
Practice address
9545 San Jose Blvd
Ste a
Jacksonville, FL 32257-4408
Phone
(904) 880-1399
Fax
(904) 880-2946
NPI assigned
Apr 18, 2007
Last updated
Dec 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Authorized official

Name
Joyce Tucker
Title
Billing Manager
Phone
(904) 272-3440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0008125 FL Primary

Addresses

Primary practice location

9545 San Jose Blvd
Ste a
Jacksonville, FL 32257-4408

Mailing address

9545 San Jose Blvd
Ste a
Jacksonville, FL 32257-4408
Phone (904) 880-1399

National Provider Directory

National Provider Directory

Locations

9545 San Jose Blvd
Ste A
Jacksonville, FL 32257
Phone (904) 269-1799

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1760608483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9545 SAN JOSE BLVD",
            "address_2": "STE A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322574408",
            "telephone_number": "904-880-1399",
            "fax_number": "904-880-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9545 SAN JOSE BLVD",
            "address_2": "STE A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322574408",
            "telephone_number": "904-880-1399",
            "fax_number": "904-880-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J AND M CHIROPRACTIC ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "904-272-3440"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0008125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.