Individual provider Active NPI

Jeremy Scott Quint, D.C.

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1639492770
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4042 Issued in OH
Practice address
1201 S High St
Columbus, OH 43206-3400
Phone
(614) 444-5661
Fax
(614) 444-5662
NPI assigned
Mar 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4042 OH Primary

Addresses

Primary practice location

1201 S High St
Columbus, OH 43206-3400

Mailing address

1201 S High St
Columbus, OH 43206-3400
Phone (614) 444-5661

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190320001248 AL Practitioner - Chiropractic 8224378732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Chirosouth Spine and Sport LLCGroup PAC ID 0749537439, 2 clinicians

Practice addresses (Care Compare)

277 S McGregor Ave
Mobile, AL 36608-2340
Phone (251) 316-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4042OHMDChiropractor
2591ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chirosouth Spine and Sport LLC Chiropractor CurrentSince Jan 29, 2019 Accepting new patients

Locations

22806 US Highway 98
Fairhope, AL 36532

277 S McGregor Ave
Mobile, AL 36608
Phone (251) 316-0010

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": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1639492770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432063400",
            "telephone_number": "614-444-5661",
            "fax_number": "614-444-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432063400",
            "telephone_number": "614-444-5661",
            "fax_number": "614-444-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINT",
        "first_name": "JEREMY",
        "middle_name": "SCOTT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.