Bobby Wayne Jones, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3597 Issued in OR

Practice address

4425 SW Corbett Ave
Portland, OR 97239-4260

Phone

(503) 227-8700

Fax

(503) 227-8702

NPI assigned

Aug 19, 2005

Last updated

Jan 6, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Blackbird Natural Health, LLC

  dba Blackbird Chiropractic

  • Chiropractor
  • Portland, OR
  • NPI 1326327206
  Authorized official Same address or phone
• Dr. Jennifer Sansen, P.S.

  dba Kitsap Chiropractic Clinic

  • Chiropractor
  • Port Orchard, WA
  • NPI 1629247846
  NPD (past)
• Kitsap Chiropractic

  • Chiropractor
  • Port Orchard, WA
  • NPI 1417897513
  NPD (past)

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1861484412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 SW CORBETT AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394260",
            "telephone_number": "503-227-8700",
            "fax_number": "503-227-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 SW CORBETT AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394260",
            "telephone_number": "503-227-8700",
            "fax_number": "503-227-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BOBBY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea N Jones, LMT
• Andreana Rochelle Jones, PMHNP
• Annette Jones
• Antonio Jones
• Aryunzaya Jones, DO
• Brandon M Jones, M.D.
• Brenda Jones, MS, RD, LD, CDE
• Brett Jones, MD
• Brian Jones
• Briana L Jones, DO

• Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.