Individual provider Active NPI

Jayme Clifford Tungate, D.C.

  • Chiropractor
  • Martin, MI
National Provider Identifier
1730620675
Registry record updated Mar 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010439 Issued in MI
Practice address
827 114TH Ave
Martin, MI 49070-9726
Phone
(269) 760-2941
NPI assigned
Mar 11, 2017
Last updated
Mar 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010439 MI Primary
Chiropractor 111N00000X CH 11664 FL

Addresses

Primary practice location

827 114TH Ave
Martin, MI 49070-9726

Mailing address

827 114TH Ave
Martin, MI 49070-9726
Phone (269) 760-2941

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH 11664FLMDChiropractor
2301010439MIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1489190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489190400000",
    "number": "1730620675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 114TH AVE",
            "city": "MARTIN",
            "state": "MI",
            "postal_code": "490709726",
            "telephone_number": "269-760-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 114TH AVE",
            "city": "MARTIN",
            "state": "MI",
            "postal_code": "490709726",
            "telephone_number": "269-760-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNGATE",
        "first_name": "JAYME",
        "middle_name": "CLIFFORD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-11",
        "last_updated": "2017-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010439",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11664",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martin, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.