Individual provider Active NPI

Joshua Rodgers Jones, D.C.

  • Chiropractor
  • Edwardsburg, MI
National Provider Identifier
1790057198
Registry record updated Jun 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009919 Issued in MI
Practice address
69821 M 62
Ste 12
Edwardsburg, MI 49112-8807
Phone
(269) 683-6000
Fax
(269) 683-6350
NPI assigned
Jan 31, 2012
Last updated
Jun 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009919 MI Primary

Addresses

Primary practice location

69821 M 62
Ste 12
Edwardsburg, MI 49112-8807

Mailing address

PO Box 547
Edwardsburg, MI 49112-0547
Phone (269) 683-6000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240827000976 FL Practitioner - Chiropractic 9133383136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Health and Business Solutions, LLCGroup PAC ID 2062604218, 4 clinicians

Practice addresses (Care Compare)

610 Sycamore St
Suite 230
Celebration, FL 34747-4997
Phone (704) 578-5362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Health & Business Solutions, LLC Chiropractor CurrentSince Jun 2, 2024 Accepting new patients
Preferred Chiropractic PLLC Chiropractor Past Accepting new patients
Preferred Chiropractic PLLC Chiropractor PastSince May 11, 2012 Accepting new patients

Locations

610 Sycamore St
Ste 230
Kissimmee, FL 34747
Phone (321) 939-2168

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": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1790057198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "EDWARDSBURG",
            "state": "MI",
            "postal_code": "491120547",
            "telephone_number": "269-683-6000",
            "fax_number": "269-683-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69821 M 62",
            "address_2": "STE 12",
            "city": "EDWARDSBURG",
            "state": "MI",
            "postal_code": "491128807",
            "telephone_number": "269-683-6000",
            "fax_number": "269-683-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JOSHUA",
        "middle_name": "RODGERS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-31",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwardsburg, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.