Organization Active NPI

JFC Chiropractic

  • Chiropractor
  • Clinton, MO
National Provider Identifier
1780906685
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2009032238 Issued in MO
Legal business name
JFC CHIROPRACTIC
Practice address
1743 E Ohio St
Clinton, MO 64735-2401
Phone
(660) 890-0700
Fax
(660) 890-0705
NPI assigned
Feb 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Authorized official

Name
Jerald F Cooley, D.C.
Title
Sole Member
Phone
(660) 890-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2009032238 MO Primary

Addresses

Primary practice location

1743 E Ohio St
Clinton, MO 64735-2401

Mailing address

1743 E Ohio St
Clinton, MO 64735-2401
Phone (660) 890-0700

National Provider Directory

National Provider Directory

Locations

602 E Ohio St
Clinton, MO 64735
Phone (660) 890-0700

1743 E Ohio St
Clinton, MO 64735
Phone (660) 890-0700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1780906685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1743 E OHIO ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352401",
            "telephone_number": "660-890-0700",
            "fax_number": "660-890-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1743 E OHIO ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352401",
            "telephone_number": "660-890-0700",
            "fax_number": "660-890-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JFC CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "660-890-0700",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2009032238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.