Jon Dandridge, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12845 Issued in FL

Practice address

116 Bartram Oaks Walk Ste 104
Jacksonville, FL 32259-3267

Phone

(904) 446-5233

NPI assigned

Jun 24, 2019

Sex

Male

Sole proprietor

No

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

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 and National Provider Directory roles.

• The Doctors Center Inc

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1235955022
  NPD

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1912568643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BARTRAM OAKS WALK",
            "address_2": "STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322593267",
            "telephone_number": "904-446-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BARTRAM OAKS WALK STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322593267",
            "telephone_number": "904-446-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANDRIDGE",
        "first_name": "JON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "12845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hunter Aaron Dancer
• Kimberly T Dancer
• Denise M. Dancull, SLP
• William E Dando, DMD
• Adelle Barros Dandridge, LM, CPM
• Alexa Daneault, ATC, LAT
• Michael Heinz Danenberg, M.D.
• Geetanjali Kimteelal Dang, MD
• Lanh Dang, PHARMD
• Liem Dang, MD.

• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.