Individual provider Active NPI

Jeffry Gerard Monnin, D.C.

  • Chiropractor
  • Sidney, OH
National Provider Identifier
1427040690
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1367 Issued in OH
Practice address
430 4TH Ave
Sidney, OH 45365-1104
Phone
(937) 498-4052
Fax
(937) 497-0371
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1367 OH Primary

Addresses

Primary practice location

430 4TH Ave
Sidney, OH 45365-1104

Mailing address

430 4TH Ave
Sidney, OH 45365-1104
Phone (937) 498-4052

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101005000507 OH Practitioner - Chiropractic 5597957878 Practice locations: Sidney, OH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

430 4TH Ave
Suite 2
Sidney, OH 45365-1100
Phone (937) 498-4052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1427040690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 4TH AVE",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453651104",
            "telephone_number": "937-498-4052",
            "fax_number": "937-497-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 4TH AVE",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453651104",
            "telephone_number": "937-498-4052",
            "fax_number": "937-497-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONNIN",
        "first_name": "JEFFRY",
        "middle_name": "GERARD",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.

Verify at the official NPI Registry.