Organization Active NPI

Andrew S. Jeter, DC PA

  • Chiropractor
  • Salisbury, NC
National Provider Identifier
1831181023
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ANDREW S. JETER, DC PA
Practice address
1001 N Main St
Salisbury, NC 28144-3612
Phone
(704) 633-5156
NPI assigned
Aug 16, 2005
Last updated
Dec 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Andrew S. Jeter, DCNPI 1881686947
Title
Owner
Phone
(704) 633-5156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

1001 N Main St
Salisbury, NC 28144-3612

Mailing address

68 Global Dr
Suite 100
Greenville, SC 29607-4628
Phone (864) 644-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041028001128 NC Part B Supplier - Clinic/Group Practice 7315909686 Receives reassigned benefits from 1 practitioner
Practice locations: Salisbury, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1831181023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 GLOBAL DR",
            "address_2": "SUITE 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074628",
            "telephone_number": "864-644-2700",
            "fax_number": "864-644-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N MAIN ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281443612",
            "telephone_number": "704-633-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW S. JETER, DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-633-5156",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.