Individual provider Active NPI

Jeffery M Wynn, D.C.

  • Chiropractor
  • Hanford, CA
National Provider Identifier
1366543506
Registry record updated Apr 6, 2010
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Nov 20, 2023.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
D.C.023410 Issued in CA
Practice address
550 W Grangeville Blvd
Hanford, CA 93230-2857
Phone
(559) 584-7000
Fax
(559) 584-7072
NPI assigned
Sep 26, 2006
Last updated
Apr 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X D.C.023410 CA Primary

Addresses

Primary practice location

550 W Grangeville Blvd
Hanford, CA 93230-2857

Mailing address

550 W Grangeville Blvd
Hanford, CA 93230-2857
Phone (559) 584-7000

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
D.C.023410CAMDChiropractor
23410CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
C S Wynn D C Chiropractic Offices Inc Chiropractor Past Accepting new patients
Thong DO, M.D., Inc. PastSince Jan 10, 2011 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1366543506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W GRANGEVILLE BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932302857",
            "telephone_number": "559-584-7000",
            "fax_number": "559-584-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W GRANGEVILLE BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932302857",
            "telephone_number": "559-584-7000",
            "fax_number": "559-584-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "JEFFERY",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "D.C.023410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.