Individual provider Active NPI

Jared Daniel Hayes, DC

  • Chiropractor
  • Stedman, NC
National Provider Identifier
1174955124
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4682 Issued in NC
Practice address
5183 Clinton Rd Ste 101
Stedman, NC 28391-9524
Phone
(910) 401-3755
NPI assigned
Aug 1, 2013
Last updated
Oct 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4682 NC Primary

Addresses

Primary practice location

5183 Clinton Rd Ste 101
Stedman, NC 28391-9524

Mailing address

PO Box 583
Stedman, NC 28391-0583
Phone (910) 401-3755

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161206000920 NC Practitioner - Chiropractic 0547574576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5183 Clinton Rd
Suite 101
Stedman, NC 28391-9524
Phone (910) 401-3755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3815SCMDPhysical Therapy Assistant
4682NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hayes Chiropractic Care, PLLC Chiropractor CurrentSince Oct 5, 2016 Accepting new patients

Locations

5183 Clinton Rd
Ste 101
Stedman, NC 28391
Phone (910) 401-3755

Organizations & group practices 1

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": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1174955124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 583",
            "city": "STEDMAN",
            "state": "NC",
            "postal_code": "283910583",
            "telephone_number": "910-401-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5183 CLINTON RD STE 101",
            "city": "STEDMAN",
            "state": "NC",
            "postal_code": "283919524",
            "telephone_number": "910-401-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "JARED",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-01",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stedman, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.