Individual provider Active NPI

Jeffrey Russell Mitchell, DC

  • Chiropractor
  • Billings, MT
National Provider Identifier
1427149277
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1017CHI Issued in MT
Practice address
1918 Broadwater Ave
Billings, MT 59102-4867
Phone
(406) 969-3805
Fax
(406) 969-3806
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1017CHI MT Primary

Addresses

Primary practice location

1918 Broadwater Ave
Billings, MT 59102-4867

Mailing address

1918 Broadwater Ave
Billings, MT 59102-4867
Phone (406) 969-3805

Other identifiers 2

IdentifierTypeStateIssuer
P01046796OtherMTRAILROAD MEDICARE PTAN
M011001947OtherMTMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050829000240 MT Practitioner - Chiropractic 4688605827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitality a Professional CorporationGroup PAC ID 3678795820, 3 clinicians

Practice addresses (Care Compare)

1918 Broadwater Ave
Billings, MT 59102-4867
Phone (406) 969-3805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1017MTMDMental Health Counselor
1017CHIMTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey R Mitchell DC PC Chiropractor PastSince Jul 9, 2014 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1427149277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 BROADWATER AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024867",
            "telephone_number": "406-969-3805",
            "fax_number": "406-969-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 BROADWATER AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024867",
            "telephone_number": "406-969-3805",
            "fax_number": "406-969-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JEFFREY",
        "middle_name": "RUSSELL",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "1017CHI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P01046796",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M011001947",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.