Organization Active NPI

Jon Bafford Chiropractic Inc.

  • Chiropractor
  • Newark, OH
National Provider Identifier
1467642488
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2951 Issued in OH
Legal business name
JON BAFFORD CHIROPRACTIC INC.
Practice address
843 N 21St St Ste 102C
Newark, OH 43055-7274
Phone
(740) 366-5599
Fax
(740) 366-8051
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Dr. Jonathan Kent Bafford, D.C.NPI 1073611182
Title
President
Phone
(740) 366-5599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2951 OH Primary

Addresses

Primary practice location

843 N 21St St Ste 102C
Newark, OH 43055-7274

Mailing address

843 N 21St St Ste 102C
Newark, OH 43055-7274
Phone (740) 366-5599

Other identifiers 2

IdentifierTypeStateIssuer
1073611182OtherNPI
2169175MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060208000745 OH Part B Supplier - Clinic/Group Practice 0446265623 Receives reassigned benefits from 1 practitioner
Practice locations: Newark, OH

National Provider Directory

National Provider Directory

Locations

843 N 21st St
Ste 102C
Newark, OH 43055
Phone (740) 366-5599

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1467642488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 N 21ST ST STE 102C",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430557274",
            "telephone_number": "740-366-5599",
            "fax_number": "740-366-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 N 21ST ST STE 102C",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430557274",
            "telephone_number": "740-366-5599",
            "fax_number": "740-366-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON BAFFORD CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "BAFFORD",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-366-5599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1073611182",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2169175",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.