Individual provider Active NPI

Jason R Usher, D.C.

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1952349680
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3105 Issued in NC
Practice address
8634 Camfield St Ste C
Charlotte, NC 28277-3145
Phone
(704) 541-7676
Fax
(704) 541-7989
NPI assigned
Jun 3, 2006
Last updated
Dec 4, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3105 NC Primary

Addresses

Primary practice location

8634 Camfield St Ste C
Charlotte, NC 28277-3145

Mailing address

8634 Camfield St Ste C
Charlotte, NC 28277-3145
Phone (704) 541-7676

Other identifiers 1

IdentifierTypeStateIssuer
89085NGMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100909000192 NC Practitioner - Chiropractic 3274658604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ballantyne Advanced Chiropractic PLLCGroup PAC ID 8628192655, 2 clinicians

Practice addresses (Care Compare)

8634 Camfield St
Suite C
Charlotte, NC 28277-3145
Phone (704) 541-7676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3105NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ballantyne Advanced Chiropractic PLLC Chiropractor CurrentSince Oct 20, 2003 Accepting new patients

Locations

8634 Camfield St
Ste C
Charlotte, NC 28277
Phone (704) 541-7676

Organizations & group practices 1

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1952349680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8634 CAMFIELD ST STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773145",
            "telephone_number": "704-541-7676",
            "fax_number": "704-541-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8634 CAMFIELD ST STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773145",
            "telephone_number": "704-541-7676",
            "fax_number": "704-541-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USHER",
        "first_name": "JASON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085NG",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.