Organization Active NPI

Jones-O'Neal Enterprises, PLLC

  • Clinic/Center
  • Versailles, KY
National Provider Identifier
1740717818
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5519 Issued in KY
Legal business name
JONES-O'NEAL ENTERPRISES, PLLC
Practice address
135 Morgan St
Versailles, KY 40383-1428
Phone
(859) 214-4711
Fax
(833) 294-4733
NPI assigned
May 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Authorized official

Name
Dr. Brandi T Jones, DCNPI 1356879571
Title
Doctor/Owner
Phone
(859) 214-4711

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
Clinic/Center 261Q00000X 5519 KY Primary

Addresses

Primary practice location

135 Morgan St
Versailles, KY 40383-1428

Mailing address

135 Morgan St
Versailles, KY 40383-1428
Phone (859) 214-4711

Other identifiers 1

IdentifierTypeStateIssuer
7100509000MedicaidKY

Other names 1

  • MindBodyLife Chiropractic & Diagnostic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171103001565 KY Part B Supplier - Clinic/Group Practice 6204192412 Receives reassigned benefits from 1 practitioner
Practice locations: Versailles, KY

National Provider Directory

National Provider Directory

Locations

135 Morgan St
Versailles, KY 40383
Phone (859) 214-4711

Practitioners & 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": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1740717818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MORGAN ST",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831428",
            "telephone_number": "859-214-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MORGAN ST",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831428",
            "telephone_number": "859-214-4711",
            "fax_number": "833-294-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES-O'NEAL ENTERPRISES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-18",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "859-214-4711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KY",
            "license": "5519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100509000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MindBodyLife Chiropractic & Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Versailles, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.