Individual provider Active NPI

Jeremy Joseph Manning, D.C.

  • Chiropractor
  • El Paso, TX
National Provider Identifier
1508008418
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11144 Issued in TX
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
208336201MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091125000532 TX Practitioner - Chiropractic 6901945286 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
11144TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Del Norte Chiropractic, PLLC Chiropractor CurrentSince Nov 29, 2018 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.

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.

Verify at the official NPI Registry.