Active NPI
Jennifer L Jessup, DC
- Chiropractor
- Troy, OH
National Provider Identifier
1407881279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3706
- Practice address
- 50 Troy Town Dr
Suite B
Troy, OH 45373-2341 - Phone
- (937) 335-1551
- Fax
- (937) 335-1288
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3706 | OH | Primary |
Addresses
Primary practice location
50 Troy Town Dr
Suite B
Troy, OH 45373-2341
Mailing address
223 E Main St
Suite B
Troy, OH 45373-3408
Phone (937) 335-1551
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3706 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gibbons Chiropractic and Acupuncture LLC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Troy, OH
- NPI 1174905418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482969600000",
"number": "1407881279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 E MAIN ST",
"address_2": "SUITE B",
"city": "TROY",
"state": "OH",
"postal_code": "453733408",
"telephone_number": "937-335-1551",
"fax_number": "937-335-1288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 TROY TOWN DR",
"address_2": "SUITE B",
"city": "TROY",
"state": "OH",
"postal_code": "453732341",
"telephone_number": "937-335-1551",
"fax_number": "937-335-1288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JESSUP",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2016-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "3706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.