Individual provider Active NPI

Jeffrey Thomas Noon, DC

  • Rehabilitation Chiropractor
  • Pensacola, FL
National Provider Identifier
1972733244
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH6631 Issued in FL
Practice address
730 N New Warrington Rd
Pensacola, FL 32506-4247
Phone
(850) 456-4788
Fax
(850) 456-6066
NPI assigned
Jul 21, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X CH6631 FL Primary

Addresses

Primary practice location

730 N New Warrington Rd
Pensacola, FL 32506-4247

Mailing address

730 N New Warrington Rd
Pensacola, FL 32506-4247
Phone (850) 456-4788

Other identifiers 1

IdentifierTypeStateIssuer
22986VOtherFLMEDICARE PTAN

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Florida Physicians Group, LLC CurrentSince Mar 24, 2017 Accepting new patients
Renfroe Spinal Center LLC Past Accepting new patients

Locations

730 N New Warrington Rd
Pensacola, FL 32506
Phone (850) 456-4788

Organizations & group practices 2

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": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1972733244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N NEW WARRINGTON RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325064247",
            "telephone_number": "850-456-4788",
            "fax_number": "850-456-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N NEW WARRINGTON RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325064247",
            "telephone_number": "850-456-4788",
            "fax_number": "850-456-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOON",
        "first_name": "JEFFREY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-21",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH6631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "22986V",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.