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JACKSONVILLE CHIROPRACTIC CENTER
NPI 1649448374
Chiropractor in Phoenix, MD

Active since February 15, 2008
14307 JARRETTSVILLE PIKE, PHOENIX, MD 21131(410) 592-7300(410) 666-0348 Get Directions Write a Review

NPPES record last updated: February 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacksonville Chiropractic Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSONVILLE CHIROPRACTIC CENTER (NPI 1649448374) is a healthcare organization registered as a chiropractor in Phoenix, Maryland and active in the NPI registry since February 2008. The organization lists Daniel Thomas Wise, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1649448374
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJCC LLC
Location Address14307 JARRETTSVILLE PIKEPhoenix, MD 21131-1763
Mailing AddressPo Box 38, 14307 Jarrettsville PikePhoenix, MD 21131-0038 · (410) 592-7300 · Fax (410) 666-0348
Phone(410) 592-7300
Fax(410) 666-0348
Organization SubpartNo
Authorized OfficialDaniel Thomas WiseDoctor/owner · (410) 592-7300
Enumeration DateFebruary 15, 2008
✔ NPI 1649448374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MD · S01332
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
14307 JARRETTSVILLE PIKE, Phoenix, MD 21131
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Other Names 1

Other NameJacksonville Chiropractic Center

Other Identifiers 1

Medicare PIN382MMD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL THOMAS WISE D.C.
Chiropractor
14307 JARRETTSVILLE PIKE
PHOENIX, MD 21131
Baltimore County (410) 592-7300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jcc LLC's NPI number?

The NPI number for Jcc LLC is 1649448374. It was assigned to this organization in the NPPES registry on February 15, 2008. The provider is also known as Jacksonville Chiropractic Center.

Where is Jcc LLC located?

Jcc LLC is located at 14307 Jarrettsville Pike, Phoenix, MD 21131. The listed phone number is (410) 592-7300.

What is Jcc LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jcc LLC was last updated on February 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.