Philip Derek Jones, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15620 Issued in AR

Practice address

1307 S Pine St
Cabot, AR 72023-3811

Phone

(501) 843-2222

Fax

(501) 843-2277

NPI assigned

Aug 8, 2006

Last updated

Feb 7, 2023By the provider in NPPES

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 AR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Back in Action Chiropractic, LLC

  • Chiropractor
  • Cabot, AR
  • NPI 1932111218
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1952311359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 S PINE ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233811",
            "telephone_number": "501-843-2222",
            "fax_number": "501-843-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 S PINE ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233811",
            "telephone_number": "501-843-2222",
            "fax_number": "501-843-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "PHILIP",
        "middle_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "15620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquetta Johnson, LMSW
• Kristina Johnson, LPC
• Erica Jones
• Lori Leann Jones, OTR/L
• Merle Jones, CNA
• Sara Boltinhouse Jones, PHARMD
• Tina M Jones, M.D.
• Kelly Justice, LMSW
• Madison Lynn Kaut
• Rebecca Dawn Kemp, RN

• Chiropractor in Cabot, AR
• Providers in Cabot, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.

Verify at the official NPI Registry.