Individual provider Active NPI

Joseph R Chevraux, CSA, CHAMP, CEAC

  • Home Modifications Contractor
  • Louisville, OH
National Provider Identifier
1174072417
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Practice address
1328 Monter Ave
Louisville, OH 44641-2034
Phone
(330) 324-4318
Fax
(330) 875-5497
NPI assigned
Sep 28, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X
Home Modifications Contractor 171WH0202X Primary
Vehicle Modifications Contractor 171WV0202X

Addresses

Primary practice location

1328 Monter Ave
Louisville, OH 44641-2034

Mailing address

1328 Monter Ave
Louisville, OH 44641-2034
Phone (330) 324-4318

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jtek Enterprises, LLC Home Modifications Past Accepting new patients
Jtek Solutions Group, LLC Contractor Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1174072417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 MONTER AVE",
            "city": "LOUISVILLE",
            "state": "OH",
            "postal_code": "446412034",
            "telephone_number": "330-324-4318",
            "fax_number": "330-875-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 MONTER AVE",
            "city": "LOUISVILLE",
            "state": "OH",
            "postal_code": "446412034",
            "telephone_number": "330-324-4318",
            "fax_number": "330-875-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEVRAUX",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "credential": "CSA, CHAMP, CEAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171WV0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Vehicle Modifications",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.