Active NPI
Marvin Jay Bailey, D.C.
- Chiropractor
- Jonesboro, IN
National Provider Identifier
1316020373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08000786A
- Practice address
- 308 S Main St
Jonesboro, IN 46938-1113 - Phone
- (765) 674-7231
- Fax
- (765) 674-3640
- NPI assigned
- Oct 23, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08000786A | IN | Primary |
Addresses
Primary practice location
308 S Main St
Jonesboro, IN 46938-1113
Mailing address
308 S Main St
Jonesboro, IN 46938-1113
Phone (765) 674-7231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111215000815 | IN | Practitioner - Chiropractic | 1557536786 | Practice locations: Jonesboro, IN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08000786A | IN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316020373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 S MAIN ST",
"city": "JONESBORO",
"state": "IN",
"postal_code": "469381113",
"telephone_number": "765-674-7231",
"fax_number": "765-674-3640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 S MAIN ST",
"city": "JONESBORO",
"state": "IN",
"postal_code": "469381113",
"telephone_number": "765-674-7231",
"fax_number": "765-674-3640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "MARVIN",
"middle_name": "JAY",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08000786A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.