Jessica Lynn Katz, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3798 Issued in NC

Practice address

1407 NC Highway 66 S
Suite G
Kernersville, NC 27284-3791

Phone

(336) 996-7007

Fax

(336) 996-7005

NPI assigned

Nov 23, 2007

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1770764425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 BEDFORD KNOLL DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271072023",
            "telephone_number": "336-996-7007",
            "fax_number": "336-996-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 NC HIGHWAY 66 S",
            "address_2": "SUITE G",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843791",
            "telephone_number": "336-996-7007",
            "fax_number": "336-996-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-23",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911846",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12124636",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie L Justice, LCSW
• K. Jasinski, D.M.D., P.C. (Smith Crossing Dental Care)
• K. Jasinski, D.M.D., P.C. (Mainline Dental Care)
• Benjamin Edward Kanzigg
• Ari Marie Kassouf
• Joshua Duane Katz, D.C.
• Ana Kaye
• Karen Azar Kazemi, MPH, RD.
• Pawan KC, M.D.
• Michael Patrick Kehoe, PA-C

• Chiropractor in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.