Active NPI
Jeffrey Glenn Freeman, D.C.
- Chiropractor
- Smithfield, PA
National Provider Identifier
1730183328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC007244L
- Practice address
- 93 Main St
Smithfield, PA 15478-8900 - Phone
- (724) 569-0777
- Fax
- (724) 569-1688
- NPI assigned
- Jun 10, 2005
- Reactivated
- Mar 21, 2006
- Last updated
- Jul 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC007244L | PA | Primary |
Addresses
Primary practice location
93 Main St
Smithfield, PA 15478-8900
Mailing address
PO Box 360
Smithfield, PA 15478-0360
Phone (724) 569-0777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017962830001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC007244L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smithfield Chiropractic Center PC | Chiropractor | Past | Accepting new patients |
| Hopwood Chiropractic Center, P.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Smithfield, PA
- NPI 1023291119
-
- Chiropractor
- Hopwood, PA
- NPI 1316998198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215561600000",
"number": "1730183328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 360",
"city": "SMITHFIELD",
"state": "PA",
"postal_code": "154780360",
"telephone_number": "724-569-0777",
"fax_number": "724-569-1688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 MAIN ST",
"city": "SMITHFIELD",
"state": "PA",
"postal_code": "154788900",
"telephone_number": "724-569-0777",
"fax_number": "724-569-1688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "JEFFREY",
"middle_name": "GLENN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2008-07-09",
"deactivation_date": "2006-03-16",
"reactivation_date": "2006-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC007244L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017962830001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smithfield, PA
- Aaron Duane Early
- Robert S English Jr., MD
- Fayette Medical Associates Inc (The Doctors Office Smithfield)
- Fayette Physician Network Inc
- Fayette Physicians Network Inc (Fayette Physicians Network-Smithfield)
- Darlene Marie Friend, MSW, LICSW
- Nathan T Glass, PA-C
- Marcy Jo Goisse, MD
- Guardian Angels Home Care
- J and H Home Medical
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.