Organization Active NPI

Jireh Chiropractic LLC

  • Independent Medical Examiner Chiropractor
  • Clearwater, FL
National Provider Identifier
1952165573
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
Legal business name
JIREH CHIROPRACTIC LLC
Practice address
1822 Drew St
Clearwater, FL 33765-2921
Phone
(765) 318-9797
NPI assigned
Feb 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Dr. Jonathan W Hodson, DCNPI 1326817487
Title
Owner, Chiropractor
Phone
(765) 318-9797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NI0013X Primary

Addresses

Primary practice location

1822 Drew St
Clearwater, FL 33765-2921

Mailing address

1822 Drew St
Clearwater, FL 33765-2921
Phone (765) 318-9797

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240519000017 FL Part B Supplier - Clinic/Group Practice 6709227960 Receives reassigned benefits from 1 practitioner
Practice locations: Clearwater, FL

National Provider Directory

National Provider Directory

Locations

1822 Drew St
Ste 108
Clearwater, FL 33765
Phone (727) 371-7973

1822 Drew St
Clearwater, FL 33765
Phone (765) 318-9797

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1952165573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 DREW ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652921",
            "telephone_number": "765-318-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 DREW ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652921",
            "telephone_number": "765-318-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIREH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "HODSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER, CHIROPRACTOR",
        "authorized_official_telephone_number": "765-318-9797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.