Jeffrey Dale Jeschke

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

8583 Wright Rd
Niles, MI 49120-9035

Phone

(269) 240-8711

NPI assigned

Jun 27, 2015

Last updated

Jun 27, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435363200000",
    "number": "1497137319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8583 WRIGHT RD",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491209035",
            "telephone_number": "269-240-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8583 WRIGHT RD",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491209035",
            "telephone_number": "269-240-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESCHKE",
        "first_name": "JEFFREY",
        "middle_name": "DALE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-27",
        "last_updated": "2015-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaliyah Isaac
• Ismail B. Sendi, MD PC (New Oakland Family Centers)
• Clarence James, MASTER OF SOCIAL WOR
• Miranda Dee Jenkins, OTR
• Shannon Sheehan Jennings, LMHC
• Job Optical, Inc. (Downtown Eyewear)
• Sunil John
• Helene M Johnson, MD
• James David Johnson, DC
• Kyna Johnson

• Other Technician in Niles, MI
• Providers in Niles, MI by specialty
• Other Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2015; 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.