Active NPI
Jack Earl Norsworthy Jr., D.C.
- Chiropractor
- Wilmington, DE
National Provider Identifier
1962477489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- F1-0000585
- Practice address
- 1305 Kirkwood Hwy
Wilmington, DE 19805-2121 - Phone
- (302) 994-6575
- Fax
- (302) 994-2374
- NPI assigned
- Feb 19, 2006
- 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 | F1-0000585 | DE | Primary |
Addresses
Primary practice location
1305 Kirkwood Hwy
Wilmington, DE 19805-2121
Mailing address
1305 Kirkwood Hwy
Wilmington, DE 19805-2121
Phone (302) 994-6575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G01935 | Other | DE | HIGHMARK MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050415000434 | DE | Practitioner - Chiropractic | 9739126327 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314144000000",
"number": "1962477489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 KIRKWOOD HWY",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198052121",
"telephone_number": "302-994-6575",
"fax_number": "302-994-2374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 KIRKWOOD HWY",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198052121",
"telephone_number": "302-994-6575",
"fax_number": "302-994-2374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORSWORTHY",
"first_name": "JACK",
"middle_name": "EARL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-19",
"last_updated": "2011-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "DE",
"license": "F1-0000585",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK MEDICARE",
"identifier": "G01935",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.