Jared Kyle Surbaugh, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

904 Issued in WV

Practice address

Advantage Chiropractic, PC
1460 Kelly Road Suite 102
Apex, NC 27502-2750

Phone

(304) 627-5435

NPI assigned

Jul 8, 2009

Last updated

Mar 16, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Advantage Chiropractic, PC

  • Chiropractor
  • Apex, NC
  • NPI 1184209223
  Medicare reassignment Authorized official
• The Chiropractic Care Center of Morgantown

  • Chiropractor
  • Morgantown, WV
  • NPI 1801243084
  NPD (past) Authorized official
• Mike Mason Chiropractic PLLC

  • Chiropractor
  • Bridgeport, WV
  • NPI 1255388971
  NPD (past)

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1215166574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 AMALFI PL STE 102",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275027058",
            "telephone_number": "304-627-5435",
            "fax_number": "304-292-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ADVANTAGE CHIROPRACTIC, PC",
            "address_2": "1460 KELLY ROAD SUITE 102",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275022750",
            "telephone_number": "304-627-5435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Greenbag Rd",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265081589",
            "country_code": "US",
            "telephone_number": "304-292-2211",
            "fax_number": "304-292-2282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURBAUGH",
        "first_name": "JARED",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2021-03-16",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "docsurbaugh@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Advantage Chiropractic, PC",
            "address_2": "1460 Kelly Road Suite 102",
            "city": "Apex",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275022750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Chiropractor in Apex, NC
• Providers in Apex, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.