Individual provider Active NPI

Jeffery Earl Manley, D.C, D.A.B.C.O.

  • Orthopedic Chiropractor
  • Arlington, TX
National Provider Identifier
1619033305
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
DC4480 Issued in TX
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

Updated by the provider on May 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001349201MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
DC4480TXMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.