Individual provider Active NPI

Jean Exume, D.C.

  • Chiropractor
  • Fredericksburg, VA
National Provider Identifier
1942503156
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556809 Issued in VA
Practice address
4107 Plank Rd Ste a
Fredericksburg, VA 22407-0113
Phone
(540) 710-5843
Fax
(888) 616-6308
NPI assigned
Dec 9, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556809 VA Primary

Addresses

Primary practice location

4107 Plank Rd Ste a
Fredericksburg, VA 22407-0113

Mailing address

4107 Plank Rd Ste a
Fredericksburg, VA 22407-0113
Phone (540) 710-5843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110104000674 VA Practitioner - Chiropractic 3870782097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4107 Plank Rd
Suite a
Fredericksburg, VA 22407-0113
Phone (540) 710-5843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104556809VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Desiring Health LLC Chiropractor CurrentSince Dec 9, 2010 Accepting new patients

Locations

969 Taskforce Dr
Fredericksburg, VA 22407
Phone (800) 495-9128

10708 Ballantraye Dr
Ste 208
Fredericksburg, VA 22407
Phone (540) 299-6334

4107 Plank Rd
Ste A
Fredericksburg, VA 22407
Phone (540) 710-5843

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": "1291852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1942503156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 PLANK RD STE A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070113",
            "telephone_number": "540-710-5843",
            "fax_number": "888-616-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 PLANK RD STE A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070113",
            "telephone_number": "540-710-5843",
            "fax_number": "888-616-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EXUME",
        "first_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-09",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.