Organization Active NPI

Jeffrey G. Hanes, D.C., Inc.

  • Chiropractor
  • Chillicothe, OH
National Provider Identifier
1679657795
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
476 Issued in OH
Legal business name
JEFFREY G. HANES, D.C., INC.
Practice address
1 Health Dr
Chillicothe, OH 45601-8604
Phone
(740) 772-5957
Fax
(740) 772-6483
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeffrey G Hanes, D.C.
Title
President
Phone
(740) 772-5957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 476 OH Primary

Addresses

Primary practice location

1 Health Dr
Chillicothe, OH 45601-8604

Mailing address

1 Health Dr
Chillicothe, OH 45601-8604
Phone (740) 772-5957

Other identifiers 1

IdentifierTypeStateIssuer
0210239MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050913001366 OH Part B Supplier - Clinic/Group Practice 3779516463 Receives reassigned benefits from 3 practitioners
Practice locations: Chillicothe, OH

National Provider Directory

National Provider Directory

Locations

860 W Emmitt Ave
Waverly, OH 45690
Phone (740) 941-4444

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679657795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HEALTH DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018604",
            "telephone_number": "740-772-5957",
            "fax_number": "740-772-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEALTH DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018604",
            "telephone_number": "740-772-5957",
            "fax_number": "740-772-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY G. HANES, D.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-772-5957",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0210239",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.