Active NPI
Ronald Keith Jassy, DC
- Chiropractor
- Midlothian, VA
National Provider Identifier
1033140603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104000409
- Practice address
- 13730 Midlothian Tpke
Midlothian, VA 23113-4317 - Phone
- (804) 379-1145
- Fax
- (804) 379-1174
- NPI assigned
- Jul 5, 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 | 0104000409 | VA | Primary |
Addresses
Primary practice location
13730 Midlothian Tpke
Midlothian, VA 23113-4317
Mailing address
10889 Redfield Dr
Amelia Court House, VA 23002-3830
Phone (804) 901-3314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104000409 | VA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199059200000",
"number": "1033140603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10889 REDFIELD DR",
"city": "AMELIA COURT HOUSE",
"state": "VA",
"postal_code": "230023830",
"telephone_number": "804-901-3314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13730 MIDLOTHIAN TPKE",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231134317",
"telephone_number": "804-379-1145",
"fax_number": "804-379-1174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASSY",
"first_name": "RONALD",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104000409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.