Jerry John Speight, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4335 Issued in CO

Practice address

316 Highway 6 and 50
Fruita, CO 81521-2642

Phone

(970) 858-8682

Fax

(970) 858-8683

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1598885188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 HIGHWAY 6 AND 50",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815212642",
            "telephone_number": "970-858-8682",
            "fax_number": "970-858-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 HIGHWAY 6 AND 50",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815212642",
            "telephone_number": "970-858-8682",
            "fax_number": "970-858-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEIGHT",
        "first_name": "JERRY",
        "middle_name": "JOHN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMER CHIRO NETWK",
            "identifier": "641171",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "632272",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordyn N Shiflet, DPT
• Ashley B Silver, LPC
• Cristi Silver
• Elizabeth Louise Smith, APN
• David Joseph Snover, PA-C, ATC
• Krehl William Stegelmeier, DDS
• Jessica A Stone, PH.D.
• Kimberly Ann Tabor
• Christopher Eugene Taggart, MD
• Telehelp With Charlotte

• Chiropractor in Fruita, CO
• Providers in Fruita, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.