Active NPI
Gregory A Jones, DC
- Chiropractor
- Fleetwood, PA
National Provider Identifier
1104917418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC001574L
- Practice address
- 14128 Kutztown Rd
Fleetwood, PA 19522 - Phone
- (610) 944-9647
- Fax
- (610) 944-8737
- NPI assigned
- Sep 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC001574L | PA | Primary |
| Chiropractor | 111N00000X | 2301004356 | MI |
Addresses
Primary practice location
14128 Kutztown Rd
Fleetwood, PA 19522
Mailing address
PO Box 326
Fleetwood, PA 19522
Phone (610) 944-9647
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 |
|---|---|---|---|
| 2301004356 | MI | MD | Chiropractor |
| DC001574L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fleetwood Chiropractic & Wellness Center, PC | Chiropractor | Past | Accepting new patients |
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
- Fleetwood, PA
- NPI 1598056954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104917418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 326",
"city": "FLEETWOOD",
"state": "PA",
"postal_code": "19522",
"telephone_number": "610-944-9647",
"fax_number": "610-944-8737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14128 KUTZTOWN RD",
"city": "FLEETWOOD",
"state": "PA",
"postal_code": "19522",
"telephone_number": "610-944-9647",
"fax_number": "610-944-8737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "GREGORY",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC001574L",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301004356",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fleetwood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.