Individual provider Active NPI

John James Coleman Jr., DC

  • Chiropractor
  • Salina, KS
National Provider Identifier
1124098702
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104442 Issued in KS
Practice address
1857 S 9TH St
Salina, KS 67401-5632
Phone
(785) 825-5655
Fax
(785) 875-5655
NPI assigned
Jan 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104442 KS Primary

Addresses

Primary practice location

1857 S 9TH St
Salina, KS 67401-5632

Mailing address

1857 S 9TH St
Salina, KS 67401-5632
Phone (785) 825-5655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110404000212 MA Practitioner - Chiropractic 1658369871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Julie Ann BurkeGroup PAC ID 0244303428, 3 clinicians

Practice addresses (Care Compare)

383 Elliot St
Suite 250
Newton Upper Falls, MA 02464-1126
Phone (617) 964-3332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104442KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Physical Therapy, LLC CurrentSince Sep 3, 2012 Accepting new patients

Locations

383 Elliot St
Ste 250
Newton Upper Falls, MA 02464
Phone (617) 564-4600

Organizations & group practices 2

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124098702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1857 S 9TH ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015632",
            "telephone_number": "785-825-5655",
            "fax_number": "785-875-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 S 9TH ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015632",
            "telephone_number": "785-825-5655",
            "fax_number": "785-875-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JOHN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0104442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

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.
  • 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.