Active NPI
JFC Enterprises LLC
- Chiropractor
- Saint Jo, TX
National Provider Identifier
1700668043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- JFC ENTERPRISES LLC
- Practice address
- 102 S Broad St
Saint Jo, TX 76265 - Phone
- (940) 241-7174
- NPI assigned
- Oct 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeff Crippen Jr., DC
- Title
- Clinic Director
- Phone
- (214) 755-7513
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
102 S Broad St
Saint Jo, TX 76265
Mailing address
PO Box 625
Saint Jo, TX 76265-0625
Phone (940) 241-7174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231221000000 | TX | Part B Supplier - Clinic/Group Practice | 2365891181 |
Receives reassigned benefits from 1 practitioner Practice locations: Saint Jo, TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1697760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697760000000",
"number": "1700668043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 625",
"city": "SAINT JO",
"state": "TX",
"postal_code": "762650625",
"telephone_number": "940-241-7174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 S BROAD ST",
"city": "SAINT JO",
"state": "TX",
"postal_code": "76265",
"telephone_number": "940-241-7174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JFC ENTERPRISES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-20",
"last_updated": "2023-10-20",
"certification_date": "2023-10-19",
"status": "A",
"authorized_official_last_name": "CRIPPEN",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "214-755-7513",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Jo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.