Active NPI
B Jeffrey Jolley, D.C.
- Neurology Chiropractor
- Mesa, AZ
National Provider Identifier
1255470753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- AZ3768
- Practice address
- 2220 S Country Club Dr
Suite 102
Mesa, AZ 85210-6887 - Phone
- (480) 633-8293
- Fax
- (480) 926-1564
- NPI assigned
- Feb 5, 2007
- Last updated
- Feb 23, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | AZ3768 | AZ | Primary |
| Neurology Chiropractor | 111NN0400X | 3768 | AZ |
Addresses
Primary practice location
2220 S Country Club Dr
Suite 102
Mesa, AZ 85210-6887
Mailing address
2220 S Country Club Dr
Suite 102
Mesa, AZ 85210-6887
Phone (480) 633-8293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2220 S Country Club Dr
Suite 102
Mesa, AZ 85210-6808
Phone (480) 633-8293
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZ3768 | AZ | MD | Neurology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Total Back Care, PLC | Current | Accepting new patients |
Locations
2220 S Country Club Dr
Ste 102
Mesa, AZ 85210
Phone (480) 633-8293
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.
-
- Physical Therapist
- Mesa, AZ
- NPI 1194850263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1255470753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 S COUNTRY CLUB DR",
"address_2": "SUITE 102",
"city": "MESA",
"state": "AZ",
"postal_code": "852106887",
"telephone_number": "480-633-8293",
"fax_number": "480-926-1564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 S COUNTRY CLUB DR",
"address_2": "SUITE 102",
"city": "MESA",
"state": "AZ",
"postal_code": "852106887",
"telephone_number": "480-633-8293",
"fax_number": "480-926-1564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOLLEY",
"first_name": "B",
"middle_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "AZ",
"license": "AZ3768",
"primary": true
},
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "AZ",
"license": "3768",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.