Individual provider Active NPI

Jared Stubblefield, D.C.

  • Chiropractor
  • Lancaster, PA
National Provider Identifier
1316274285
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010295 Issued in PA
Practice address
1689 Crown Ave
Suite 5
Lancaster, PA 17601-6314
Phone
(717) 945-2192
Fax
(717) 650-2547
NPI assigned
Nov 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-31451 CA
Chiropractor 111N00000X DC010295 PA Primary

Addresses

Primary practice location

1689 Crown Ave
Suite 5
Lancaster, PA 17601-6314

Mailing address

1689 Crown Ave
Suite 5
Lancaster, PA 17601-6314
Phone (717) 945-2192

Other identifiers 2

IdentifierTypeStateIssuer
DC010295OtherPAPENNSYLVANIA STATE CHIROPRACTIC BOARD
DC-31451OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comp Rehab Chiropractor Current Accepting new patients
Lancaster Accident and Injury Rehab Chiropractor Current Accepting new patients
Lebanon Chiropractic Center Chiropractor Past Accepting new patients
Hershey Orthopedic & Spine Rehabilitation LLC PastSince Jul 18, 2018 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1316274285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1689 CROWN AVE",
            "address_2": "SUITE 5",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016314",
            "telephone_number": "717-945-2192",
            "fax_number": "717-650-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 CROWN AVE",
            "address_2": "SUITE 5",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016314",
            "telephone_number": "717-945-2192",
            "fax_number": "717-650-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBLEFIELD",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-12",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-31451",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA STATE CHIROPRACTIC BOARD",
            "identifier": "DC010295",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DC-31451",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.