Active NPI
Ralph W Jeffery, D.C.
- Chiropractor
- Modesto, CA
National Provider Identifier
1073533576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 20635
- Practice address
- 200 Auto Center CT
Suite B
Modesto, CA 95356-1573 - Phone
- (209) 577-4277
- Fax
- (209) 577-0942
- NPI assigned
- Jul 20, 2006
- 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 | 20635 | CA | Primary |
Addresses
Primary practice location
200 Auto Center CT
Suite B
Modesto, CA 95356-1573
Mailing address
200 Auto Center CT
Suite B
Modesto, CA 95356-1573
Phone (209) 577-4277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110112000058 | CA | Practitioner - Chiropractic | 3476742172 | Practice locations: Modesto, CA; Placerville, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
200 Auto Ctr CT
Suite B
Modesto, CA 95356-1573
Phone (209) 577-4277
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20635 | CA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454284800000",
"number": "1073533576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 AUTO CENTER CT",
"address_2": "SUITE B",
"city": "MODESTO",
"state": "CA",
"postal_code": "953561573",
"telephone_number": "209-577-4277",
"fax_number": "209-577-0942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 AUTO CENTER CT",
"address_2": "SUITE B",
"city": "MODESTO",
"state": "CA",
"postal_code": "953561573",
"telephone_number": "209-577-4277",
"fax_number": "209-577-0942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERY",
"first_name": "RALPH",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2016-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "20635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.