Active NPI
Jade H Reyes
- Chiropractor
- Kendallville, IN
National Provider Identifier
1003626359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08003493A
- Practice address
- 402 N Riley St
Kendallville, IN 46755-1262 - Phone
- (260) 347-1150
- Fax
- (260) 347-1155
- NPI assigned
- Jan 9, 2025
- Sex
- Female
- 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 | 08003493A | IN | Primary |
Addresses
Primary practice location
402 N Riley St
Kendallville, IN 46755-1262
Mailing address
402 N Riley St
Kendallville, IN 46755-1262
Phone (260) 347-1150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250110002993 | IN | Practitioner - Chiropractic | 0143758607 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
402 N Riley St
Kendallville, IN 46755-1262
Phone (260) 347-1150
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles (1 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jansen & Jansen, D.C., Inc. | Chiropractor | Current | Accepting new patients |
Locations
402 N Riley St
Kendallville, IN 46755
Phone (260) 242-0836
Networks
- IL HMO C-SNP
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
- KY PPO C-SNP
- KY PPO
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- OH PPO
- IL PPO Downstate
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 and National Provider Directory roles.
-
- Chiropractor
- Kendallville, IN
- NPI 1679583876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1003626359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 N RILEY ST",
"city": "KENDALLVILLE",
"state": "IN",
"postal_code": "467551262",
"telephone_number": "260-347-1150",
"fax_number": "260-347-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 N RILEY ST",
"city": "KENDALLVILLE",
"state": "IN",
"postal_code": "467551262",
"telephone_number": "260-347-1150",
"fax_number": "260-347-1155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "JADE",
"middle_name": "H",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-09",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08003493A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kendallville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.