Matthew Dale Jennings, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3879 Issued in OH

Practice address

1408 Lexington Ave Ste C
Mansfield, OH 44907-2630

Phone

(419) 756-6262

Fax

(419) 774-0592

NPI assigned

Apr 1, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wolf Chiropractic Inc

  • Chiropractor
  • Mansfield, OH
  • NPI 1932653805
  Medicare reassignment NPD Authorized official
• Mill Run Chiropractic Center Inc.

  • Chiropractor
  • Hilliard, OH
  • NPI 1902849995
  NPD (past)

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1124290929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 LEXINGTON AVE STE C",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072630",
            "telephone_number": "419-756-6262",
            "fax_number": "419-774-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 LEXINGTON AVE STE C",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072630",
            "telephone_number": "419-756-6262",
            "fax_number": "419-774-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "MATTHEW",
        "middle_name": "DALE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-01",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vickie L. Jarvis, M.A., PCC
• Marjorie Jasinski, RN, NP-C
• Rahul Jaswaney
• Brendan Tamar Jefferson
• Jazmin Jenkins
• Katelyn Jenny
• Becky Jensen, FNP
• Rachel Jensen
• Mackenzie Jergens
• Amy L. Jerger, R.N.

• Chiropractor in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.