Active NPI
Thomas P Jeffers, DC CCSP
- Chiropractor
- Milford, PA
National Provider Identifier
1013957984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC005220L
- Practice address
- 101 Roberts Lane
Suite 1B
Milford, PA 18337 - Phone
- (570) 296-4455
- Fax
- (570) 296-9682
- NPI assigned
- Jun 7, 2006
- Last updated
- Nov 12, 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 | DC005220L | PA | Primary |
Addresses
Primary practice location
101 Roberts Lane
Suite 1B
Milford, PA 18337
Mailing address
101 Roberts Lane
Suite 1B
Milford, PA 18337
Phone (570) 296-4455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1015640300001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041228000111 | PA | Practitioner - Chiropractic | 6709844525 | Practice locations: Milford, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
101 Roberts LN
Suite 1B
Milford, PA 18337-7836
Phone (570) 296-4455
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352678400000",
"number": "1013957984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 ROBERTS LANE",
"address_2": "SUITE 1B",
"city": "MILFORD",
"state": "PA",
"postal_code": "18337",
"telephone_number": "570-296-4455",
"fax_number": "570-296-9682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 ROBERTS LANE",
"address_2": "SUITE 1B",
"city": "MILFORD",
"state": "PA",
"postal_code": "18337",
"telephone_number": "570-296-4455",
"fax_number": "570-296-9682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERS",
"first_name": "THOMAS",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DC CCSP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2012-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC005220L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1015640300001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.