Organization Active NPI

Jeffries Chiropractic & Wellness LLC

  • Chiropractor
  • Cambridge, OH
National Provider Identifier
1720119357
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3387 Issued in OH
Legal business name
JEFFRIES CHIROPRACTIC & WELLNESS LLC
Practice address
1423 Campbell Ave
Cambridge, OH 43725-2930
Phone
(740) 435-9555
Fax
(740) 435-9515
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Robert Patrick Jeffries, DCNPI 1679604201
Title
Owner
Phone
(740) 435-9555

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 1

IdentifierTypeStateIssuer
2385048MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070816000928 OH Part B Supplier - Clinic/Group Practice 9537251715 Receives reassigned benefits from 5 practitioners
Practice locations: Cambridge, OH

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 5

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1720119357",
    "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": {
        "organization_name": "JEFFRIES CHIROPRACTIC & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "JEFFRIES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-435-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "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 Apr 20, 2008; 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.