Active NPI
Jeremy Joseph Manning, D.C.
- Chiropractor
- El Paso, TX
National Provider Identifier
1508008418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11144
- Practice address
- 6024 Aztec Rd
El Paso, TX 79925-2011 - Phone
- (915) 594-7787
- Fax
- (915) 598-3365
- NPI assigned
- Mar 24, 2009
- Last updated
- Mar 24, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11144 | TX | Primary |
Addresses
Primary practice location
6024 Aztec Rd
El Paso, TX 79925-2011
Mailing address
6024 Aztec Rd
El Paso, TX 79925-2011
Phone (915) 594-7787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208336201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11601 Pellicano Dr
Suite A9
El Paso, TX 79936-6054
Phone (915) 593-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11144 | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Del Norte Chiropractic, PLLC | Chiropractor | Current | Accepting new patients |
| Physicians and Allied Health Professionals Group, PA | Chiropractor | Past | Accepting new patients |
Locations
11601 Pellicano Dr
Ste A9
El Paso, TX 79936
Phone (915) 593-2225
Organizations & group practices 2
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.
-
- Chiropractor
- El Paso, TX
- NPI 1326245820
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269388800000",
"number": "1508008418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6024 AZTEC RD",
"city": "EL PASO",
"state": "TX",
"postal_code": "799252011",
"telephone_number": "915-594-7787",
"fax_number": "915-598-3365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6024 AZTEC RD",
"city": "EL PASO",
"state": "TX",
"postal_code": "799252011",
"telephone_number": "915-594-7787",
"fax_number": "915-598-3365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "JEREMY",
"middle_name": "JOSEPH",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-24",
"last_updated": "2010-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208336201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.