NPIMap

Organization Active NPI

Jay Chiropractic Health and Rehabilitation, LLC

Doing business as East Wellness

  • Preferred Provider Organization
  • Grove, OK
National Provider Identifier
1841690831
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
3331 Issued in OK
Legal business name
JAY CHIROPRACTIC HEALTH AND REHABILITATION, LLC
Doing business as
East Wellness
Practice address
80 W 7TH St
Grove, OK 74344-3403
Phone
(918) 787-6700
NPI assigned
Aug 27, 2014
Last updated
Aug 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Authorized official

Name
Jenny Lynn Witt, CA
Title
Office Manager
Phone
(918) 787-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 3331 OK Primary

Addresses

Primary practice location

80 W 7TH St
Grove, OK 74344-3403

Mailing address

80 W. 7TH St.
Grove, OK 74344
Phone (918) 787-6700

Other names 1

  • East Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
East Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1841690831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 W. 7TH ST.",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "74344",
            "telephone_number": "918-787-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 W 7TH ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743443403",
            "telephone_number": "918-787-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY CHIROPRACTIC HEALTH AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-787-6700",
        "authorized_official_credential": "CA"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OK",
            "license": "3331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grove, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.