Individual provider Active NPI

Jerry Edward Day, DC

  • Chiropractor
  • Colleyville, TX
National Provider Identifier
1821051541
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6659 Issued in TX
Practice address
6420 Colleyville Blvd Ste 112
Colleyville, TX 76034-6466
Phone
(817) 481-8060
Fax
(817) 251-0136
NPI assigned
Apr 11, 2006
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6659 TX Primary

Addresses

Primary practice location

6420 Colleyville Blvd Ste 112
Colleyville, TX 76034-6466

Mailing address

6420 Colleyville Blvd Ste 112
Colleyville, TX 76034-6466
Phone (817) 980-6642

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

State licenses

LicenseStateTypeSpecialty
6659TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Las Colinas Physical Medicine PLLC CurrentSince Oct 31, 2024 Accepting new patients
Cornerstone Health and Wellness PLLC Chiropractor PastSince Oct 1, 2014 Accepting new patients
Chiro One Wellness Center of Colleyville PLLC Chiropractor Past Accepting new patients

Locations

122 W John Carpenter Fwy
Ste 105
Irving, TX 75039
Phone (972) 215-7985

Organizations & group practices 3

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1821051541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 COLLEYVILLE BLVD STE 112",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346466",
            "telephone_number": "817-980-6642",
            "fax_number": "817-251-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 COLLEYVILLE BLVD STE 112",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346466",
            "telephone_number": "817-481-8060",
            "fax_number": "817-251-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "JERRY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.