Active NPI
Lisa M Jones, DC
- Chiropractor
- Pickerington, OH
National Provider Identifier
1811094568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2191
- Practice address
- 13299 Summerfield Way
Pickerington, OH 43147-9251 - Phone
- (614) 866-5181
- NPI assigned
- Sep 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2191 | OH | Primary |
Addresses
Primary practice location
13299 Summerfield Way
Pickerington, OH 43147-9251
Mailing address
13455 Capetown Ave
Pickerington, OH 43147-9276
Phone (614) 755-4815
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311473580-00 | Other | OH | BWC GROUP# |
| 0128892 | Medicaid | OH | |
| 4400103 | Other | OH | UHC GROUP# |
| 0229050 | Medicaid | OH | |
| 311473580-001 | Other | OH | MEDICAL MUTUAL GROUP# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1995
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
13299 Summerfield Way
Pickerington, OH 43147-9251
Phone (614) 866-5181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2191 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activelife Family Chiropractic Center, Inc. | Chiropractor | Current | Accepting new patients |
Locations
13299 Summerfield Way
Pickerington, OH 43147
Phone (614) 397-3501
Organizations & group practices 1
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.
-
- Chiropractor
- Pickerington, OH
- NPI 1760520092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1811094568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13455 CAPETOWN AVE",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431479276",
"telephone_number": "614-755-4815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13299 SUMMERFIELD WAY",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431479251",
"telephone_number": "614-866-5181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "LISA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "2191",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC GROUP#",
"identifier": "311473580-00",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0128892",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC GROUP#",
"identifier": "4400103",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0229050",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL GROUP#",
"identifier": "311473580-001",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pickerington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.