Active NPI
Jake Hunter Doster, D.C.
- Chiropractor
- Jackson, TN
National Provider Identifier
1962754325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2630
- Practice address
- 3566 Highway 45 N
Jackson, TN 38305-7890 - Phone
- (731) 664-8000
- Fax
- (731) 664-8100
- NPI assigned
- Oct 10, 2012
- Last updated
- Oct 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 2630 | TN | Primary |
Addresses
Primary practice location
3566 Highway 45 N
Jackson, TN 38305-7890
Mailing address
3566 Highway 45 N
Jackson, TN 38305-7890
Phone (731) 664-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3566 N Highland Ave
Suite a
Jackson, TN 38305-7890
Phone (731) 664-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2630 | TN | MD | Occupational Therapist |
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": "1349827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349827200000",
"number": "1962754325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3566 HIGHWAY 45 N",
"city": "JACKSON",
"state": "TN",
"postal_code": "383057890",
"telephone_number": "731-664-8000",
"fax_number": "731-664-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3566 HIGHWAY 45 N",
"city": "JACKSON",
"state": "TN",
"postal_code": "383057890",
"telephone_number": "731-664-8000",
"fax_number": "731-664-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOSTER",
"first_name": "JAKE",
"middle_name": "HUNTER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-10",
"last_updated": "2012-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "2630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.