Individual provider Active NPI

Jeffrey Madison James, D.C., P.C.

  • Chiropractor
  • Manassas, VA
National Provider Identifier
1710168737
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000626 Issued in VA
Practice address
9151 Key Commons CT
Manassas, VA 20110-5300
Phone
(703) 369-4111
Fax
(703) 369-4317
NPI assigned
Nov 19, 2007
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104000626 VA Primary

Addresses

Primary practice location

9151 Key Commons CT
Manassas, VA 20110-5300

Mailing address

9151 Key Commons CT
Manassas, VA 20110-5300
Phone (703) 369-4111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120618000648 VA Practitioner - Chiropractic 6608030903 Practice locations: Manassas, VA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104000626VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey M James DC PC Chiropractor CurrentSince Aug 19, 1991 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1710168737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9151 KEY COMMONS CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105300",
            "telephone_number": "703-369-4111",
            "fax_number": "703-369-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9151 KEY COMMONS CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105300",
            "telephone_number": "703-369-4111",
            "fax_number": "703-369-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "JEFFREY",
        "middle_name": "MADISON",
        "name_prefix": "Dr.",
        "credential": "D.C., P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-19",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.

Verify at the official NPI Registry.