NPIMap

Organization Active NPI

D.R. Thomas V. Jacques D.C., PSC

Doing business as American Chiropractic

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1871693770
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4007 Issued in KY
Legal business name
D.R. THOMAS V. JACQUES D.C., PSC
Doing business as
American Chiropractic
Practice address
3318 Bardstown Rd
Louisville, KY 40218-4602
Phone
(502) 456-5353
Fax
(502) 456-5373
NPI assigned
Sep 22, 2006
Last updated
Aug 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Dr. Thomas Vincent Jacques, D.C.NPI 1861467136
Title
Owner/President
Phone
(502) 456-5353

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 4007 KY Primary

Addresses

Primary practice location

3318 Bardstown Rd
Louisville, KY 40218-4602

Mailing address

3318 Bardstown Rd
Louisville, KY 40218-4602
Phone (502) 456-5353

Other names 1

  • American Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050321000772 KY Part B Supplier - Clinic/Group Practice 3577518745 Receives reassigned benefits from 5 practitioners
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

10012 Dixie Hwy
Louisville, KY 40272
Phone (502) 937-7000

3318 Bardstown Rd
Louisville, KY 40218
Phone (502) 456-5353

8182 Dixie Hwy
Louisville, KY 40258
Phone (502) 937-7000

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1871693770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402184602",
            "telephone_number": "502-456-5353",
            "fax_number": "502-456-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402184602",
            "telephone_number": "502-456-5353",
            "fax_number": "502-456-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.R. THOMAS V. JACQUES D.C., PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "JACQUES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "502-456-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.