Active NPI
Jared Stubblefield, D.C.
- Chiropractor
- Lancaster, PA
National Provider Identifier
1316274285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC010295
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC010295 | Other | PA | PENNSYLVANIA STATE CHIROPRACTIC BOARD |
| DC-31451 | Other | CA | STATE 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
| Organization | Specialty | Status | New 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 | Past | 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.
-
- Chiropractor
- Lancaster, PA
- NPI 1578135976
-
- Chiropractor
- Lebanon, PA
- NPI 1700208212
-
- Chiropractor
- Harrisburg, PA
- NPI 1477411817
-
- Orthopedic Physical Therapist
- Hershey, PA
- NPI 1730320821
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.