Active NPI
Jason R. Haycock, DC
- Chiropractor
- Lyman, WY
National Provider Identifier
1760668362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 611
- Practice address
- 225 W Owen St.
Lyman, WY 82937 - Phone
- (307) 787-6400
- NPI assigned
- Jan 14, 2008
- Last updated
- Jan 29, 2008
- 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 | 611 | WY | Primary |
Addresses
Primary practice location
225 W Owen St.
Lyman, WY 82937
Mailing address
PO Box 1194
Lyman, WY 82937-1194
Phone (307) 787-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
109 S Main St
Suite a
Lyman, WY 82937-1194
Phone (307) 787-6400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to Health Chiropractic Inc | Chiropractor | Current | Accepting new patients |
Locations
109 S Main St
Ste A
Lyman, WY 82937
Phone (307) 787-6400
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Lyman, WY
- NPI 1447393954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1760668362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1194",
"city": "LYMAN",
"state": "WY",
"postal_code": "829371194",
"telephone_number": "307-787-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 W OWEN ST.",
"city": "LYMAN",
"state": "WY",
"postal_code": "82937",
"telephone_number": "307-787-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYCOCK",
"first_name": "JASON",
"middle_name": "R.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-14",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WY",
"license": "611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lyman, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.