J Cox Enterprises LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-010423 Issued in IL

Legal business name

J COX ENTERPRISES LTD

Practice address

825 New York Dr Ste 1
Vandalia, IL 62471-1044

Phone

(618) 283-2230

Fax

(618) 283-1868

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jedidiah Matthew Cox, DCNPI 1104922319

Title

Ceo

Phone

(618) 283-2230

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jedidiah Cox, DC

  • Chiropractor
  • Vandalia, IL
  • NPI 1104922319
  Medicare reassignment NPD Authorized official
• Matthew Earl Labertew, DC

  • Chiropractor
  • Vandalia, IL
  • NPI 1699702589
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1114059227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NEW YORK DR STE 1",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711044",
            "telephone_number": "618-283-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NEW YORK DR STE 1",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711044",
            "telephone_number": "618-283-2230",
            "fax_number": "618-283-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J COX ENTERPRISES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "JEDIDIAH",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-283-2230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00332012",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "793482",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038010423",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Britni Jordan Hosick, LCSW
• HSHS Holy Family Hospital Inc
• Colten Lee Hunter, DMD
• Melissa Hutchison
• Katie Leann Ireland, PHARM D
• Ethan Jones, MA
• Kaskaskia Medical Center, LTD
• Tanea L Kinkead, M.A., BCBA, LBA
• Alicia Brianne Kniepkamp, RDH
• Nicole Kough

• All providers in Vandalia, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.