Individual provider Active NPI

Jeffrey Richard Marrs, DC

  • Chiropractor
  • Hemet, CA
National Provider Identifier
1922015619
Registry record updated Sep 23, 2011
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Dec 20, 2016.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
24168 Issued in CA
Practice address
2091 W Florida Ave
Ste 120
Hemet, CA 92545-4800
Phone
(951) 929-0100
Fax
(951) 929-0660
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 24168 CA Primary

Addresses

Primary practice location

2091 W Florida Ave
Ste 120
Hemet, CA 92545-4800

Mailing address

2091 W Florida Ave
Ste 120
Hemet, CA 92545-4800
Phone (951) 929-0100

Other identifiers 1

IdentifierTypeStateIssuer
24168OtherCACA CHIROPRACTIC BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
24168CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Marrs Chiropractic Clinic Inc Chiropractor Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1922015619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 W FLORIDA AVE",
            "address_2": "STE 120",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925454800",
            "telephone_number": "951-929-0100",
            "fax_number": "951-929-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 W FLORIDA AVE",
            "address_2": "STE 120",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925454800",
            "telephone_number": "951-929-0100",
            "fax_number": "951-929-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRS",
        "first_name": "JEFFREY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "24168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA CHIROPRACTIC BOARD",
            "identifier": "24168",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.