Organization Active NPI

Jennifer Bevis D.C., Inc

  • Chiropractor
  • Gainesville, FL
National Provider Identifier
1467744482
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7821 Issued in FL
Legal business name
JENNIFER BEVIS D.C., INC
Practice address
4650 NW 39TH PL
Suite E
Gainesville, FL 32606-8157
Phone
(352) 338-1918
NPI assigned
May 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Dr. Jennifer Bevis, D.C.NPI 1740315753
Title
President
Phone
(352) 338-1918

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 CH7821 FL Primary

Addresses

Primary practice location

4650 NW 39TH PL
Suite E
Gainesville, FL 32606-8157

Mailing address

4650 NW 39TH PL
Suite E
Gainesville, FL 32606-8157
Phone (352) 338-1918

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211208002237 FL Part B Supplier - Clinic/Group Practice 7012307903 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, FL

National Provider Directory

National Provider Directory

Locations

4650 NW 39th Pl
Ste E
Gainesville, FL 32606
Phone (352) 338-1918

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": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1467744482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 NW 39TH PL",
            "address_2": "SUITE E",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326068157",
            "telephone_number": "352-338-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 NW 39TH PL",
            "address_2": "SUITE E",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326068157",
            "telephone_number": "352-338-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER BEVIS D.C., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "BEVIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-338-1918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.