Active NPI
Jeffery Earl Manley, D.C, D.A.B.C.O.
- Orthopedic Chiropractor
- Arlington, TX
National Provider Identifier
1619033305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- DC4480
- Practice address
- 4602 Park Springs Blvd
Suite 150
Arlington, TX 76017 - Phone
- (817) 784-2330
- Fax
- (817) 330-0052
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | DC4480 | TX | Primary |
Addresses
Primary practice location
4602 Park Springs Blvd
Suite 150
Arlington, TX 76017
Mailing address
4604 Park Springs Blvd Ste 120
Arlington, TX 76017-1596
Phone (817) 784-2330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001349201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120330000370 | TX | Practitioner - Chiropractic | 7214197110 | Practice locations: Arlington, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1987
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4604 Park Springs Blvd
Suite 120
Arlington, TX 76017-1596
Phone (817) 784-2330
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC4480 | TX | MD | Orthopedic Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeff Manley DC PC | Orthopedic | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopedic Chiropractor
- Arlington, TX
- NPI 1932321775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526601600000",
"number": "1619033305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4604 PARK SPRINGS BLVD STE 120",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760171596",
"telephone_number": "817-784-2330",
"fax_number": "817-330-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4602 PARK SPRINGS BLVD",
"address_2": "SUITE 150",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "76017",
"telephone_number": "817-784-2330",
"fax_number": "817-330-0052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANLEY",
"first_name": "JEFFERY",
"middle_name": "EARL",
"name_prefix": "Dr.",
"credential": "D.C, D.A.B.C.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2018-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "TX",
"license": "DC4480",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001349201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.