Individual provider Active NPI

James Jeremy Hether, D.C.

  • Chiropractor
  • Deland, FL
National Provider Identifier
1518033646
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7306 Issued in FL
Practice address
2719 S Woodland Blvd
Deland, FL 32720-7005
Phone
(386) 734-0702
Fax
(386) 734-6924
NPI assigned
Nov 28, 2006
Last updated
Oct 18, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7306 FL Primary

Addresses

Primary practice location

2719 S Woodland Blvd
Deland, FL 32720-7005

Mailing address

1301 Harms Way
Port Orange, FL 32129-5260
Phone (386) 304-6683

Other identifiers 2

IdentifierTypeStateIssuer
45692OtherBLUE CROSS BLUE SHIELD #
CH7306OtherFLSTATE LICENCE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080725000135 FL Practitioner - Chiropractic 6507939469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2719 S Woodland Blvd
Deland, FL 32720-7005
Phone (386) 734-0702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH7306FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
James J. Hether, D.C., P.L. Chiropractor CurrentSince Jan 1, 2008 Accepting new patients
Hether Accident & Injury Center Chiropractor Past Accepting new patients

Locations

2719 S Woodland Blvd
Deland, FL 32720
Phone (386) 734-0702

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1518033646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 HARMS WAY",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321295260",
            "telephone_number": "386-304-6683",
            "fax_number": "386-734-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 S WOODLAND BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327207005",
            "telephone_number": "386-734-0702",
            "fax_number": "386-734-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETHER",
        "first_name": "JAMES",
        "middle_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "45692",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE #",
            "identifier": "CH7306",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.