Active NPI
Jason Ray Clemmons, DC
- Chiropractor
- Lubbock, TX
National Provider Identifier
1912077371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9975
- Practice address
- 8004 Abbeville Ave
Lubbock, TX 79424-2806 - Phone
- (806) 794-0400
- NPI assigned
- Nov 9, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9975 | TX | Primary |
Addresses
Primary practice location
8004 Abbeville Ave
Lubbock, TX 79424-2806
Mailing address
5817 95TH St
Lubbock, TX 79424-4750
Phone (806) 783-9130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050317001105 | TX | Practitioner - Chiropractic | 5294719654 | Practice locations: Littlefield, TX; Lubbock, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6535 82ND St
Lubbock, TX 79424-7011
Phone (806) 794-0400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9975 | TX | MD | Behavioral Analyst |
Organizations & group practices 2
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": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912077371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5817 95TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794244750",
"telephone_number": "806-783-9130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8004 ABBEVILLE AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794242806",
"telephone_number": "806-794-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMMONS",
"first_name": "JASON",
"middle_name": "RAY",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
- Anna-Karina Clawson, MSN, APRN, FNP-C
- Ariel Faith Clay
- Heather Kristine Claybrook, PA
- Jayce Clayton, C.R.N.A
- Clemmons and Associates PA (Lubbock Family Chiropractic)
- Laura Kimberley Clemmons
- Gloria Cleveland, AU. D.
- Paige Cleveland, PTA
- Dakota Breann Clevenger, RN
- Chelsea Dawn Click, M. ED LPC-ASSOCIATE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.