Organization Active NPI

Jeffery Chiropractic, Inc.

  • Chiropractor
  • Layton, UT
National Provider Identifier
1972790772
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
294426-1202 Issued in UT
Legal business name
JEFFERY CHIROPRACTIC, INC.
Practice address
1037 Kimberly Dr
Layton, UT 84040-2805
Phone
(801) 593-0999
Fax
(801) 513-5056
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Dr. Ryan C. Jeffery, D.C.NPI 1336291012
Title
Owner
Phone
(801) 593-0999

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 294426-1202 UT Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 294425-1202 UT

Addresses

Primary practice location

1037 Kimberly Dr
Layton, UT 84040-2805

Mailing address

1037 Kimberly Dr
Layton, UT 84040-2805
Phone (801) 593-0999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110419000520 UT Part B Supplier - Clinic/Group Practice 8224213137 Receives reassigned benefits from 1 practitioner
Practice locations: Layton, UT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1972790772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 KIMBERLY DR",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840402805",
            "telephone_number": "801-593-0999",
            "fax_number": "801-513-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 KIMBERLY DR",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840402805",
            "telephone_number": "801-593-0999",
            "fax_number": "801-513-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "JEFFERY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-593-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "294426-1202",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "294425-1202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.