Michael Donald Jefferson, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9715 Issued in FL

Practice address

2323 NE 26TH Ave
Pompano Beach, FL 33062-1147

Phone

(754) 300-4660

Fax

(954) 943-2280

NPI assigned

Jun 12, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1437386745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7763 NW 60TH LN",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330673326",
            "telephone_number": "407-913-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 NE 26TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621147",
            "telephone_number": "754-300-4660",
            "fax_number": "954-943-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "MICHAEL",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "220FC",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeff Jean-Joseph, HS
• Claudine Jean-Louis
• Romilda Jean
• Woseline Jean, BS
• Brillana Jeanmarie
• Damond Jenkins
• Desiree Irene Jenkins
• Donna Jennifer Jenkins, MS
• Jennifer C. Pacheco, O.D., P.L.L.C.
• Adrienne Denise Jennings

• Chiropractor in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.