Individual provider Active NPI

Robert Patrick Jeffries, DC

  • Chiropractor
  • Cambridge, OH
National Provider Identifier
1679604201
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3387 Issued in OH
Practice address
1423 Campbell Ave
Cambridge, OH 43725-2930
Phone
(740) 435-9555
Fax
(740) 435-9515
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3387 OH Primary

Addresses

Primary practice location

1423 Campbell Ave
Cambridge, OH 43725-2930

Mailing address

1423 Campbell Ave
Cambridge, OH 43725-2930
Phone (740) 435-9555

Other identifiers 3

IdentifierTypeStateIssuer
000000302270OtherOHBLUE CROSS PIN
P00014293OtherOHRRMC PIN
2385048MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070817000678 OH Practitioner - Chiropractic 0941392104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Jeffries Chiropractic and Wellness LLCGroup PAC ID 9537251715, 3 clinicians

Practice addresses (Care Compare)

1423 Campbell Ave
Cambridge, OH 43725-2930
Phone (740) 435-9555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3387OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffries Chiropractic & Wellness LLC Chiropractor CurrentSince May 1, 2003 Accepting new patients

Locations

1423 Campbell Ave
Cambridge, OH 43725
Phone (740) 435-9555

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1679604201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 CAMPBELL AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252930",
            "telephone_number": "740-435-9555",
            "fax_number": "740-435-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 CAMPBELL AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252930",
            "telephone_number": "740-435-9555",
            "fax_number": "740-435-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "ROBERT",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PIN",
            "identifier": "000000302270",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC PIN",
            "identifier": "P00014293",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2385048",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.