Jason O Jaeger, D.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

B00949 Issued in NV

Practice address

6592 N Decatur Blvd
Suite 115
Las Vegas, NV 89131-1037

Phone

(702) 396-4993

Fax

(702) 636-4990

NPI assigned

Mar 26, 2006

Last updated

Sep 17, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• UT PPO

Interoperability endpoints

• Direct secure messaging: advancedspineandposture.jasonjaeger@142240.advancedmd-direct.com

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.

• Golan Integrated Physical Medicine

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Las Vegas, NV
  • NPI 1497195580

  Chiropractor

  Medicare reassignment NPD
• Golan Integrated Physical Medicine

  dba Advanced Spine and Posture

  • Chiropractor
  • Las Vegas, NV
  • NPI 1871893016
  Authorized official Same address or phone
• Golan Integrated Physical Medicine

  dba Advanced Spine and Posture

  • Physical Medicine & Rehabilitation Physician
  • Grand Rapids, MI
  • NPI 1316419260

  Chiropractor

  NPD
• Mountain West Chiropractic, LLC

  • Chiropractor
  • Las Vegas, NV
  • NPI 1427009042
  NPD (past)
• Summit Anesthesia Consultants, Inc

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1285601930
  NPD (past)

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

{
    "created_epoch": "1143331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1326008079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 401805",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891401805",
            "telephone_number": "702-396-4993",
            "fax_number": "702-636-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6592 N DECATUR BLVD",
            "address_2": "SUITE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891311037",
            "telephone_number": "702-396-4993",
            "fax_number": "702-636-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEGER",
        "first_name": "JASON",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-26",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B00949",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NV",
            "license": "B00949",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "B00949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID PART B",
            "identifier": "39031",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jawaid Jadran, PTA
• Jae Choi MD PLLC
• Whitney Lena Jaeb, MSW, LCSW
• Jessi Jaech
• Alison Joy Jaeger, PT
• Nadija Jaeger
• Alexandra Jaenke, OTR/L
• Salmeh Jafarifar, DDS
• Brianna Jaffe
• Aesha Fareeedah Jaffir

• Physical Medicine & Rehabilitation Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Medicine & Rehabilitation Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.