Individual provider Active NPI

Jeffrey K Bird, D.C.

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1356560064
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3198 Issued in OH
Practice address
9494 Cincinnati Columbus Rd
Cincinnati, OH 45241-1161
Phone
(513) 755-3354
Fax
(513) 755-8021
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3198 OH Primary

Addresses

Primary practice location

9494 Cincinnati Columbus Rd
Cincinnati, OH 45241-1161

Mailing address

3143 Western Row Rd
Ste a
Maineville, OH 45039-9509
Phone (513) 755-3354

Other identifiers 1

IdentifierTypeStateIssuer
000000302745OtherOHANTHEM PIN NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090507000385 OH Practitioner - Chiropractic 5597813295 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3198OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Chiropractic LLC Chiropractor CurrentSince Oct 14, 2020 Accepting new patients

Locations

3143 Western Row Rd
Ste A
Maineville, OH 45039
Phone (513) 770-0534

3143 Western Row Rd
Maineville, OH 45039
Phone (513) 770-0534

4936 Wunnenberg Way
West Chester, OH 45069
Phone (513) 860-3400

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1356560064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3143 WESTERN ROW RD",
            "address_2": "STE A",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450399509",
            "telephone_number": "513-755-3354",
            "fax_number": "513-755-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9494 CINCINNATI COLUMBUS RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452411161",
            "telephone_number": "513-755-3354",
            "fax_number": "513-755-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "JEFFREY",
        "middle_name": "K",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN NUMBER",
            "identifier": "000000302745",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.