Organization Active NPI

Jeffco Management LLC

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1578627352
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JEFFCO MANAGEMENT LLC
Practice address
10221 Desert Sands St Ste 206
San Antonio, TX 78216-3944
Phone
(210) 738-0771
Fax
(210) 342-1004
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Dr. Jeffrey Scott Reynolds, D.C.NPI 1104854306
Title
President
Phone
(210) 738-0771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

10221 Desert Sands St Ste 206
San Antonio, TX 78216-3944

Mailing address

10221 Desert Sands St Ste 206
San Antonio, TX 78216-3944
Phone (210) 738-0771

Other identifiers 2

IdentifierTypeStateIssuer
187957901MedicaidTX
8W1320OtherTXBCBS

National Provider Directory

National Provider Directory

Locations

10221 Desert Sands St
Ste 206
San Antonio, TX 78216
Phone (210) 738-0771

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1578627352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10221 DESERT SANDS ST STE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782163944",
            "telephone_number": "210-738-0771",
            "fax_number": "210-342-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10221 DESERT SANDS ST STE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782163944",
            "telephone_number": "210-738-0771",
            "fax_number": "210-342-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFCO MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-738-0771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187957901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8W1320",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.