Individual provider Active NPI

Frank Wallace Jeffries IV, D.C.

  • Chiropractor
  • Marquette, MI
National Provider Identifier
1821233933
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007181 Issued in MI
Practice address
708 Chippewa SQ
#5
Marquette, MI 49855
Phone
(906) 226-7525
NPI assigned
Dec 4, 2008
Last updated
Dec 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007181 MI Primary
Chiropractor 111N00000X 2746 SC

Addresses

Primary practice location

708 Chippewa SQ
#5
Marquette, MI 49855

Mailing address

708 Chippewa Square
#5
Marquette, MI 49855
Phone (906) 226-7525

Other identifiers 1

IdentifierTypeStateIssuer
OE25005OtherMIBXBS

Other names 1

  • Dr. Frank Wallace Jeffries IV Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090522000370 MI Practitioner - ChiropracticPractitioner - Preventive MedicinePractitioner - Physical Medicine and RehabilitationPractitioner - Allergy/Immunology 1557410495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Allergy/Immunology, Physical Medicine and Rehabilitation, Preventive Medicine
Education
Palmer College Chiropractic - Davenport, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

545 Mangum Rd
Marquette, MI 49855-9263
Phone (906) 226-7525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301007181MIMDChiropractor
2746SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffries Chiropractic Alternative Healing Centre P.C. Chiropractor CurrentSince Apr 14, 2009 Accepting new patients

Locations

708 Chippewa Sq
Ste 5
Marquette, MI 49855
Phone (906) 226-7525

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, 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": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228348800000",
    "number": "1821233933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 CHIPPEWA SQUARE",
            "address_2": "#5",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-226-7525",
            "fax_number": "906-226-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 CHIPPEWA SQ",
            "address_2": "#5",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-226-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "FRANK",
        "middle_name": "WALLACE",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007181",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2746",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS",
            "identifier": "OE25005",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANK",
            "last_name": "JEFFRIES",
            "middle_name": "WALLACE",
            "prefix": "DR.",
            "suffix": "IV",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.