Individual provider Active NPI

Thomas Alan Jodon, D.C.

  • Chiropractor
  • Uniontown, PA
National Provider Identifier
1992826903
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003369L Issued in PA
Practice address
66 Lebanon Ave Ste B
Uniontown, PA 15401-4192
Phone
(724) 439-9445
Fax
(724) 439-4021
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC003369L PA Primary

Addresses

Primary practice location

66 Lebanon Ave Ste B
Uniontown, PA 15401-4192

Mailing address

66 Lebanon Ave Ste B
Uniontown, PA 15401-4192
Phone (724) 439-9445

Other identifiers 1

IdentifierTypeStateIssuer
JO447693OtherPAPROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150909001230 PA Practitioner - Chiropractic 1951617802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 Lebanon Ave
Suite B
Uniontown, PA 15401-4192
Phone (724) 439-9445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jodon Chiropractic Clinic P.C. Chiropractor CurrentSince Aug 11, 2015 Accepting new patients

Locations

66 Lebanon Ave
Ste B
Uniontown, PA 15401
Phone (724) 439-9445

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992826903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 LEBANON AVE STE B",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014192",
            "telephone_number": "724-439-9445",
            "fax_number": "724-439-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 LEBANON AVE STE B",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014192",
            "telephone_number": "724-439-9445",
            "fax_number": "724-439-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JODON",
        "first_name": "THOMAS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003369L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "JO447693",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.