Individual provider Active NPI

Jeffrey J West, DC

  • Chiropractor
  • Newark, DE
National Provider Identifier
1154337897
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F1-0000412 Issued in DE
Practice address
218 E Main St
Ste 112
Newark, DE 19711-7364
Phone
(302) 525-4343
Fax
(302) 266-0450
NPI assigned
Aug 1, 2006
Last updated
Jul 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X F1-0000412 DE Primary

Addresses

Primary practice location

218 E Main St
Ste 112
Newark, DE 19711-7364

Mailing address

218 E Main St
Ste 112
Newark, DE 19711-7364
Phone (302) 832-7000

Other identifiers 2

IdentifierTypeStateIssuer
G01264OtherDEMEDICARE GROUP
72-1564372OtherDETAX ID #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090618000512 DE Practitioner - Chiropractic 7012067796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

218 E Main St
Suite 112
Newark, DE 19711-7364
Phone (302) 525-4343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F1-0000412DEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Be Truly Well, LLC Chiropractor CurrentSince Feb 25, 2009 Accepting new patients
True Wellness Centers Inc. Chiropractor Past Accepting new patients

Locations

218 E Main St
Ste 112
Newark, DE 19711
Phone (302) 525-4343

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1154337897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E MAIN ST",
            "address_2": "STE 112",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117364",
            "telephone_number": "302-832-7000",
            "fax_number": "302-832-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E MAIN ST",
            "address_2": "STE 112",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117364",
            "telephone_number": "302-525-4343",
            "fax_number": "302-266-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "G01264",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "72-1564372",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.