Organization Active NPI

Jay Chiropractic Health and Rehabilitation LLC

Doing business as East Wellness

  • Chiropractor
  • Grove, OK
National Provider Identifier
1346317278
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JAY CHIROPRACTIC HEALTH AND REHABILITATION LLC
Doing business as
East Wellness
Practice address
80 W. 7TH St
Grove, OK 74344
Phone
(918) 786-6700
Fax
(918) 786-2846
NPI assigned
Nov 29, 2006
Last updated
Sep 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Dr. Todd A East, DCNPI 1083718720
Title
Doctor of Chiropractic Owner Pres
Phone
(918) 253-3030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

80 W. 7TH St
Grove, OK 74344

Mailing address

80 W 7TH St
Grove, OK 74344-3403
Phone (918) 786-6700

Other names 1

  • East Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050118000193 OK Part B Supplier - Clinic/Group Practice 0547218307 Receives reassigned benefits from 1 practitioner
Practice locations: Grove, OK

National Provider Directory

National Provider Directory
Tax ID family
East Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

716 S Main St
Grove, OK 74344
Phone (918) 786-5544

80 W 7th St
Grove, OK 74344
Phone (918) 787-6700

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1346317278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 W 7TH ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743443403",
            "telephone_number": "918-786-6700",
            "fax_number": "918-786-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 W. 7TH ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "74344",
            "telephone_number": "918-786-6700",
            "fax_number": "918-786-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY CHIROPRACTIC HEALTH AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "EAST",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC OWNER PRES",
        "authorized_official_telephone_number": "918-253-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grove, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.

Verify at the official NPI Registry.