Jerrylee Otimeye Ejuwa, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11959 Issued in TX

Practice address

1025 S Main St Ste 305
Grapevine, TX 76051-7506

Phone

(817) 251-0550

Fax

(817) 251-0599

NPI assigned

Feb 6, 2012

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Physical Medicine and Rehabilitation

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Align Health PLLCGroup PAC ID 6103100250, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Align Health PLLC

  • Family Medicine Physician
  • Grapevine, TX
  • NPI 1316489156
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1295007326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S MAIN ST STE 305",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517506",
            "telephone_number": "817-251-0550",
            "fax_number": "817-251-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S MAIN ST STE 305",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517506",
            "telephone_number": "817-251-0550",
            "fax_number": "817-251-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EJUWA",
        "first_name": "JERRYLEE",
        "middle_name": "OTIMEYE",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-06",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Wade Edwards
• Kimberly Edwards, RN
• Carlee Efeney
• Eh Home Health of DFW, LLC
• Eighteen95, PA
• Elder Care Solution Services
• Elevani Health Group, PLLC
• Elevate Seniors
• Elevated Health Services
• Melvin Joseph Elieson, MD

• Chiropractor in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.