Active NPI
Jeffry D Bell, D.C.
- Rehabilitation Chiropractor
- Modesto, CA
National Provider Identifier
1386724284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- DC 27585
- Practice address
- 112 El Vista Ave
Modesto, CA 95354-3006 - Phone
- (209) 526-1284
- Fax
- (209) 526-3781
- NPI assigned
- Oct 16, 2006
- Last updated
- Feb 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | DC 27585 | CA | Primary |
Addresses
Primary practice location
112 El Vista Ave
Modesto, CA 95354-3006
Mailing address
112 El Vista Ave
Modesto, CA 95354-3006
Phone (209) 526-1284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0275850 | Other | CA | BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040210001071 | CA | Practitioner - Chiropractic | 1153215207 | Practice locations: Modesto, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
112 El Vista Ave
Modesto, CA 95354-3006
Phone (209) 526-1284
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 27585 | CA | MD | Rehabilitation Chiropractor |
| 27585 | CA | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles a. Saenz | Past | Accepting new patients | |
| Fisher Family Chiropractic Inc | Past | 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.
-
- Chiropractor
- Modesto, CA
- NPI 1669740148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1386724284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 EL VISTA AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953543006",
"telephone_number": "209-526-1284",
"fax_number": "209-526-3781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 EL VISTA AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953543006",
"telephone_number": "209-526-1284",
"fax_number": "209-526-3781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "JEFFRY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "DC 27585",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUESHIELD",
"identifier": "DC0275850",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.