Organization Active NPI

Jeffries Chiropractic Alternative Healing Centre P.C.

  • Chiropractor
  • Marquette, MI
National Provider Identifier
1639195100
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007181 Issued in MI
Legal business name
JEFFRIES CHIROPRACTIC ALTERNATIVE HEALING CENTRE P.C.
Practice address
708 Chippewa Square
#5
Marquette, MI 49855
Phone
(906) 226-7525
Fax
(906) 226-7525
NPI assigned
Jul 15, 2006
Last updated
Jun 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Authorized official

Name
Dr. Frank Wallace Jeffries IV, D.C.NPI 1821233933
Title
Doctor of Chiropractic
Phone
(906) 226-7525

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007181 MI Primary
Chiropractor 111N00000X 2746 SC

Addresses

Primary practice location

708 Chippewa Square
#5
Marquette, MI 49855

Mailing address

708 Chippewa Square
#5
Marquette, MI 49855
Phone (906) 226-7525

Other identifiers 1

IdentifierTypeStateIssuer
OE25005OtherMIBXBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090522000392 MI Part B Supplier - Clinic/Group Practice 3173672029 Receives reassigned benefits from 1 practitioner
Practice locations: Marquette, MI

National Provider Directory

National Provider Directory

Locations

708 Chippewa Sq
Ste 5
Marquette, MI 49855
Phone (906) 226-7525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1639195100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 CHIPPEWA SQUARE",
            "address_2": "#5",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-226-7525",
            "fax_number": "906-226-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 CHIPPEWA SQUARE",
            "address_2": "#5",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-226-7525",
            "fax_number": "906-226-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFRIES CHIROPRACTIC ALTERNATIVE HEALING CENTRE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "JEFFRIES",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "906-226-7525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007181",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2746",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS",
            "identifier": "OE25005",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.