Individual provider Active NPI

Rob Deryl Jones, D.C.

  • Chiropractor
  • Lawrence, KS
National Provider Identifier
1467532655
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104747 Issued in KS
Practice address
3120 Mesa Way
Suite a
Lawrence, KS 66049-4200
Phone
(785) 842-7325
Fax
(785) 842-7329
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104747 KS Primary

Addresses

Primary practice location

3120 Mesa Way
Suite a
Lawrence, KS 66049-4200

Mailing address

3120 Mesa Way
Suite a
Lawrence, KS 66049-4200
Phone (785) 842-7325

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

LicenseStateTypeSpecialty
04747KSMDMental Health Counselor
0104747KSMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1467532655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 MESA WAY",
            "address_2": "SUITE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494200",
            "telephone_number": "785-842-7325",
            "fax_number": "785-842-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 MESA WAY",
            "address_2": "SUITE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494200",
            "telephone_number": "785-842-7325",
            "fax_number": "785-842-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ROB",
        "middle_name": "DERYL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0104747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.