Jake Eberth, DC (CHIROPRACTIC)

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

013662 Issued in NY

Practice address

765 Center St
Lewiston, NY 14092-1763

Phone

(585) 698-0400

NPI assigned

Oct 3, 2022

Last updated

Oct 3, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Body Bar New York LLC

  dba The Body Bar

  • Massage Therapist
  • West Seneca, NY
  • NPI 1699533448
  Medicare reassignment NPD

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1447974423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 CENTER ST",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921763",
            "telephone_number": "585-698-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 CENTER ST",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921763",
            "telephone_number": "585-698-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERTH",
        "first_name": "JAKE",
        "name_prefix": "Dr.",
        "credential": "DC (CHIROPRACTIC)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Doermer, DPT
• Elizabeth Anne Doherty, M.D.
• Jac Samuel Dorris
• Eric Thomas Duchscherer
• Timothy George Dyster, M.D.
• Andrea Nicole Edwards, LPN
• Samir El-Chehabi, DDS
• Exigence Hospitalist Medical Services of Lewiston, PLLC
• Fairchild Manor Nursing Home LLC
• Donna Azam Feldman, MD

• Chiropractor in Lewiston, NY
• Providers in Lewiston, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.