Individual provider Active NPI

Jessica Neikirk, DC

  • Chiropractor
  • Cornelius, NC
National Provider Identifier
1770150187
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5343 Issued in NC
Practice address
19722 One Norman Blvd Ste 210
Cornelius, NC 28031-5911
Phone
(980) 689-2499
NPI assigned
Jun 6, 2021
Last updated
Nov 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5343 NC Primary

Addresses

Primary practice location

19722 One Norman Blvd Ste 210
Cornelius, NC 28031-5911

Mailing address

9708 Kincey Ave
Apt 119
Huntersville, NC 28078-9144
Phone (575) 693-7799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
100 Percent Chiropractic Padilla, LLC Chiropractor CurrentSince Jun 15, 2021 Accepting new patients
100 Chiropractic Hummel PLLC Chiropractor CurrentSince Dec 17, 2023 Accepting new patients

Locations

19722 One Norman Blvd
Ste 210
Cornelius, NC 28031
Phone (704) 336-9032

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1622937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1770150187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9708 KINCEY AVE",
            "address_2": "APT 119",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280789144",
            "telephone_number": "575-693-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19722 ONE NORMAN BLVD STE 210",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315911",
            "telephone_number": "980-689-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIKIRK",
        "first_name": "JESSICA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-06",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.