Individual provider Active NPI

Jared Stephen Yevins, D.C.

  • Chiropractor
  • Sewickley, PA
National Provider Identifier
1992854467
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 009739 Issued in PA
Practice address
409 Broad St
Suite 101 a
Sewickley, PA 15143-1557
Phone
(412) 741-5451
Fax
(412) 741-5452
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 009739 PA Primary
Chiropractor 111N00000X AJ 009545 PA

Addresses

Primary practice location

409 Broad St
Suite 101 a
Sewickley, PA 15143-1557

Mailing address

409 Broad St
Suite 101 a
Sewickley, PA 15143-1557
Phone (412) 741-5451

Other identifiers 1

IdentifierTypeStateIssuer
YE1930474OtherPABLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070205000269 PA Practitioner - Chiropractic 1759383771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

409 Broad St
101A
Sewickley, PA 15143-1554
Phone (412) 741-5451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AJ 009545PAMDChiropractor
DC 009739PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sewickley Chiropractic Center, P.C. Chiropractor CurrentSince Jan 4, 2010 Accepting new patients

Locations

409 Broad St
Ste 101A
Sewickley, PA 15143
Phone (412) 499-5500

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1992854467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 BROAD ST",
            "address_2": "SUITE 101 A",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431557",
            "telephone_number": "412-741-5451",
            "fax_number": "412-741-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 BROAD ST",
            "address_2": "SUITE 101 A",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431557",
            "telephone_number": "412-741-5451",
            "fax_number": "412-741-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEVINS",
        "first_name": "JARED",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC 009739",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "AJ 009545",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "YE1930474",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.