Jonn A. McClellan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9815 Issued in FL

Practice address

210 Jupiter Lakes Blvd Ste 5205
Jupiter, FL 33458

Phone

(561) 768-5699

Fax

(561) 803-8708

NPI assigned

Jul 27, 2009

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

Practice roles

Locations

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.

• Altus Medical Group

  • Chiropractor
  • Jupiter, FL
  • NPI 1316659998
  NPD Authorized official
• JM. JZ Enterprises

  dba RevitaSpine

  • Clinic/Center
  • Jupiter, FL
  • NPI 1629594866
  Authorized official Same address or phone

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1629209523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8439 E GARDEN OAKS CIR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106369",
            "telephone_number": "561-768-5699",
            "fax_number": "561-803-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD STE 5205",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-768-5699",
            "fax_number": "561-803-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "JONN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004261300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "EM390V",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christie Leigh Mayer, P.T.
• Richard Mayron, MD
• MB Hrim Company, LLC (Marybeth Hrim, LCSW)
• Mya McAdams
• Jenifer Donnellan McCarthy, M.D.
• Angela Emma McClelland, R.D.
• Christopher McCormack, PTA
• Kristen McDermott Mozzo, D.O.
• Caitlin Heather McDonald, OTD, OTR/L
• Gene Tyler McDonald, CRNA

• Chiropractor in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.