JK7 Promisland, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4994 Issued in TX

Legal business name

JK7 PROMISLAND, INC.

Practice address

6775 Old Jacksonville Hwy # 2
Tyler, TX 75703-0508

Phone

(903) 509-8000

NPI assigned

Oct 13, 2011

Last updated

Oct 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Leon Shirley

Title

Owner

Phone

(903) 509-8000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1861777526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 S BROADWAY AVE # 142",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6775 OLD JACKSONVILLE HWY # 2",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030508",
            "telephone_number": "903-509-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK7 PROMISLAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-509-8000"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatjuana Rachell Jiles
• Jim McKinley, M.D., PLLC
• Madeline Jimenez-Torres, M. D.
• Tammy Jimenez, RD, LD, IBCLC, CPM,
• Tyresa Jimmerson
• JKM Homecare (Brightstar Care of Tyler Longview)
• JMC Professional Surgical Associate, PLLC
• Melissa Jno Lewis
• Ebrima Jobe
• Ousman Jobe

• Chiropractor in Tyler, TX
• Providers in Tyler, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.