Individual provider Active NPI

Jeffrey William McCloskey, D.C.

  • Chiropractor
  • Grand Junction, CO
National Provider Identifier
1093741878
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6250 Issued in CO
Practice address
321 Rood Ave # 103
Grand Junction, CO 81501-2420
Phone
(970) 241-2400
Fax
(970) 241-3786
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 2772062 CO
Chiropractor 111N00000X 6250 CO Primary

Addresses

Primary practice location

321 Rood Ave # 103
Grand Junction, CO 81501-2420

Mailing address

321 Rood Ave # 103
Grand Junction, CO 81501-2420
Phone (970) 241-2400

Other practice location 1

755 North Ave
Suite D
Grand Junction, CO 81501-3112
Phone (970) 234-3334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090616000060 CO Practitioner - Chiropractic 6608899000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

321 Rood Ave
Suite 103
Grand Junction, CO 81501-2441
Phone (970) 241-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6250COMDProfessional Counselor
2772062COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Institute of Western Colorado Chiropractor CurrentSince Mar 16, 2014 Accepting new patients
Linhardt Chiropractic Health Services Chiropractor Past Accepting new patients
Sheader Chiropractic LLC Chiropractor Past Accepting new patients

Locations

755 North Ave
Ste D
Grand Junction, CO 81501
Phone (970) 241-2400

321 Rood Ave
Ste 103
Grand Junction, CO 81501
Phone (970) 241-2400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1093741878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 ROOD AVE # 103",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012420",
            "telephone_number": "970-241-2400",
            "fax_number": "970-241-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 ROOD AVE # 103",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012420",
            "telephone_number": "970-241-2400",
            "fax_number": "970-241-3786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 North Ave",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815013112",
            "country_code": "US",
            "telephone_number": "970-234-3334",
            "fax_number": "970-241-3786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLOSKEY",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "2772062",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.

Verify at the official NPI Registry.