Individual provider Active NPI

Deron Louis Jester, DC

  • Chiropractor
  • West Chester, PA
National Provider Identifier
1326093196
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCDC009208L Issued in PA
Practice address
620 W Strasburg Rd
West Chester, PA 19382-1955
Phone
(610) 696-6676
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DCDC009208L PA Primary

Addresses

Primary practice location

620 W Strasburg Rd
West Chester, PA 19382-1955

Mailing address

620 W Strasburg Rd
West Chester, PA 19382-1955
Phone (610) 696-6676

Other identifiers 2

IdentifierTypeStateIssuer
001620186OtherHIGHMARK
2316426000OtherIBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040826000029 PA Practitioner - Chiropractic 1052308046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

620 W Strasburg Rd
West Chester, PA 19382-1955
Phone (610) 696-6676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DCDC009208LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jester Family Chiropractic Chiropractor CurrentSince Jul 1, 2004 Accepting new patients

Locations

620 W Strasburg Rd
West Chester, PA 19382
Phone (610) 696-6676

133 N Church St
West Chester, PA 19380
Phone (610) 436-8491

Organizations & group practices 1

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1326093196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W STRASBURG RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193821955",
            "telephone_number": "610-696-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W STRASBURG RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193821955",
            "telephone_number": "610-696-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESTER",
        "first_name": "DERON",
        "middle_name": "LOUIS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DCDC009208L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "001620186",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2316426000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.