Jeffrey Russell Dexter, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1730 Issued in OH

Practice address

325 4TH St
Marietta, OH 45750-2002

Phone

(740) 376-9944

Fax

(740) 376-0094

NPI assigned

Dec 27, 2005

Last updated

Jun 17, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marietta Health and Wellness Center LLCGroup PAC ID 9335289388, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Marietta Health and Wellness Center LLC

  • Family Medicine Physician
  • Marietta, OH
  • NPI 1558695411

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Dexter Chiropractic

  • Chiropractor
  • Marietta, OH
  • NPI 1396888145
  NPD (past) Authorized official
• Emil Chiropractic LLC

  • Chiropractor
  • Vero Beach, FL
  • NPI 1750426896
  NPD (past)

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1902883416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 4TH ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502002",
            "telephone_number": "740-376-9944",
            "fax_number": "740-376-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 4TH ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502002",
            "telephone_number": "740-376-9944",
            "fax_number": "740-376-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEXTER",
        "first_name": "JEFFREY",
        "middle_name": "RUSSELL",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1730",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "762",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000120157",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0459294",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devola Orthopedic Center of Sports Medicine, Inc.
• Devola Volunteer Fire Company Inc. (Devola Volunteer Fire Company)
• Brenton Charles Dewees, LMT
• Dexter Chiropractic
• Jeffrey Evan Dexter, DC
• Devanshi Dharaiya
• Sarita L. Dhiraprasiddhi, PA-C
• Dialysis Specialists of Marietta, LTD. (Dialysis Specialists of Marietta)
• Conley Diaz-Gomez, MD
• Parker Jordan Dinan

• Chiropractor in Marietta, OH
• Providers in Marietta, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.