Jack P Agliata, CHIROPRACTOR

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9159 Issued in FL

Practice address

105 NE 1St Avenue
High Springs, FL 32643-4336

Phone

(386) 454-4055

Fax

(386) 454-9836

NPI assigned

Nov 16, 2006

Last updated

May 2, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jpa Management LLC

  • Chiropractor
  • High Springs, FL
  • NPI 1275606667
  Medicare reassignment NPD Authorized official
• High Springs Family Practice Clinic Inc

  • Family Medicine Physician
  • High Springs, FL
  • NPI 1659440030
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1821161217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NE 1ST AVE",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326434336",
            "telephone_number": "386-454-4055",
            "fax_number": "386-454-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NE 1ST AVENUE",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326434336",
            "telephone_number": "386-454-4055",
            "fax_number": "386-454-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGLIATA",
        "first_name": "JACK",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Above & Beyond Play, Inc
• Ramin Ahmad
• Nasir Uddin Ahmed, MD
• Ann E Lane Arnp Inc
• Mary Antoinette Ilumin Arbitrario
• Paul Brandon Arthur, PHD, OTR/L

• Chiropractor in High Springs, FL
• Providers in High Springs, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.

Verify at the official NPI Registry.