Matthew Jessee Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556300 Issued in VA

Legal business name

MATTHEW JESSEE CHIROPRACTIC PC

Practice address

135 Plaza Road SW
Wise, VA 24293-4613

Phone

(276) 679-2311

Fax

(276) 679-2133

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Jessee, D.C.NPI 1851467328

Title

Chiropractor

Phone

(276) 679-2311

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Highlands Chiropractic & Wellness Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

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

• Matthew Benson Eugene Jessee, D.C.

  • Chiropractor
  • Wise, VA
  • NPI 1851467328
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1992869168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PLAZA ROAD SW",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242934613",
            "telephone_number": "276-679-2311",
            "fax_number": "276-679-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PLAZA ROAD SW",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242934613",
            "telephone_number": "276-679-2311",
            "fax_number": "276-679-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW JESSEE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "JESSEE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "276-679-2311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "248582",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7970611",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlands Chiropractic & Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Wise, VA
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.