Individual provider Active NPI

Jeff H. Jex, D.C.

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1558425306
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7968 Issued in AZ
Practice address
1946 S Signal Butte Rd
Suite A105
Mesa, AZ 85209-2732
Phone
(480) 857-2098
NPI assigned
Dec 19, 2006
Last updated
Oct 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5157401-1202 UT
Chiropractor 111N00000X 7968 AZ Primary

Addresses

Primary practice location

1946 S Signal Butte Rd
Suite A105
Mesa, AZ 85209-2732

Mailing address

1439 E Goldcrest St
Gilbert, AZ 85297-4604
Phone (480) 543-0106

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160219001524 AZ Practitioner - Chiropractic 4385662022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pentz Health Services LLCGroup PAC ID 1557392214, 7 clinicians

Practice addresses (Care Compare)

6402 E Superstition Springs Blvd
Suite 123
Mesa, AZ 85206-4391
Phone (480) 833-0302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5157401-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pentz Health Services LLC Chiropractor CurrentSince Apr 1, 2021 Accepting new patients
Lindon Family Chiropractic P.C. Chiropractor Past Accepting new patients
Superstition Wellness Center PLLC Chiropractor Past Accepting new patients
Infinite Health & Wellness Centers PLLC Chiropractor PastSince Apr 1, 2021 Accepting new patients

Locations

6402 E Superstition Springs Blvd
Ste 123
Mesa, AZ 85206
Phone (480) 794-1061

Organizations & group practices 4

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1558425306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 E GOLDCREST ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852974604",
            "telephone_number": "480-543-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 S SIGNAL BUTTE RD",
            "address_2": "SUITE A105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092732",
            "telephone_number": "480-857-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEX",
        "first_name": "JEFF",
        "middle_name": "H.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "5157401-1202",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.