Individual provider Active NPI

Jason Richard Menges, D.C.

  • Chiropractor
  • Bel Air, MD
National Provider Identifier
1760473516
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01933 Issued in MD
Practice address
516 Baltimore Pike
Bel Air, MD 21014
Phone
(410) 638-2424
Fax
(410) 893-8923
NPI assigned
Nov 1, 2005
Last updated
May 19, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01933 MD Primary

Addresses

Primary practice location

516 Baltimore Pike
Bel Air, MD 21014

Mailing address

1416 Martin Meadows Dr
Fallston, MD 21047-2221
Phone (410) 877-1597

Other identifiers 6

IdentifierTypeStateIssuer
639A-HEOtherMDBCBS GROUP #
640123OtherMDACN PROVIDER #
605923200OtherMDACS PROVIDER #
J5830001OtherMDBLUE CHOICE/FEP #
225617OtherMDKAISER PROVIDER#
60485304OtherMDBCBS RENDERING ID#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041130000022 MD Practitioner - Chiropractic 6709841117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthbridge ChiropracticGroup PAC ID 1557326964, 2 clinicians

Practice addresses (Care Compare)

137 E Broadway
Bel Air, MD 21014-2903
Phone (410) 638-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01933MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthbridge Chiropractic Chiropractor CurrentSince May 3, 2004 Accepting new patients
Spineworks Medical Center, LLC Past Accepting new patients
Charm City Medical Associates PA Past Accepting new patients

Locations

137 E Broadway
Bel Air, MD 21014
Phone (410) 638-2424

516 Baltimore Pike
Bel Air, MD 21014
Phone (410) 638-2424

Organizations & group practices 3

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": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1760473516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 MARTIN MEADOWS DR",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472221",
            "telephone_number": "410-877-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 BALTIMORE PIKE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-638-2424",
            "fax_number": "410-893-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENGES",
        "first_name": "JASON",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-01",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "639A-HE",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN PROVIDER #",
            "identifier": "640123",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS PROVIDER #",
            "identifier": "605923200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE/FEP #",
            "identifier": "J5830001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PROVIDER#",
            "identifier": "225617",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS RENDERING ID#",
            "identifier": "60485304",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.