Individual provider Active NPI

Jeffrey Carl Covault, D.C.

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1760714455
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4138 Issued in OH
Practice address
4810 W Broad St
Columbus, OH 43228-1602
Phone
(614) 878-3533
Fax
(614) 878-3521
NPI assigned
Feb 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4138 OH Primary

Addresses

Primary practice location

4810 W Broad St
Columbus, OH 43228-1602

Mailing address

789 City Park Ave
Columbus, OH 43206-2048
Phone (740) 706-1760

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111006000570 OH Practitioner - Chiropractic 1557533940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Chiropractic Associates of NewGroup PAC ID 7911288071, 2 clinicians

Practice addresses (Care Compare)

4810 W Broad St
Columbus, OH 43228-1602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Associates of New Chiropractor CurrentSince Nov 8, 2016 Accepting new patients
Zanesville Chiropractic, Inc Chiropractor PastSince Nov 8, 2016 Accepting new patients

Locations

4810 W Broad St
Columbus, OH 43228
Phone (614) 878-3533

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1760714455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CITY PARK AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432062048",
            "telephone_number": "740-706-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281602",
            "telephone_number": "614-878-3533",
            "fax_number": "614-878-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVAULT",
        "first_name": "JEFFREY",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-04",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.