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DR. JACOB EDWARDS D.C.
NPI 1083093678
Chiropractor in Moore, OK

Active since May 28, 2015Accepts Medicare Assignment
1008 SW 4TH ST STE 110, MOORE, OK 73160(405) 708-6300(405) 708-6388 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jacob Edwards D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACOB EDWARDS D.C. (NPI 1083093678) is an individual chiropractor in Moore, Oklahoma, licensed in Oklahoma (4198) and active in the NPI registry since May 2015. He is a graduate of Other (2015).

NPPES Registry Identity

NPI1083093678
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JACOB EDWARDSCredential: D.C.
Location Address1008 SW 4TH ST STE 110Moore, OK 73160-2405
Mailing Address1008 Sw 4th St Ste 110Moore, OK 73160-2405 · (405) 708-6300 · Fax (405) 708-6388
Phone(405) 708-6300
Fax(405) 708-6388
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 28, 2015
Last NPPES UpdateMay 8, 2025
NPPES CertifiedMay 8, 2025
✔ NPI 1083093678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OK · 4198
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1008 SW 4TH ST STE 110, Moore, OK 73160
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacob Edwards D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355620568
PECOS Enrollment IDI20191023002814

Medicare Billing Reassignments

2

Medicare enrollment records show Jacob Edwards reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jce Chiropractic Clinic
Same address
Chiropractor
1008 SW 4TH ST STE 110
Moore, OK 73160
  • Reassigned Medicare billing, Oklahoma enrollment
NPI 1598553315 (405) 708-6300
Tmp Chiropractic PC
3.7 mi
Chiropractor
8013 S WESTERN AVE, SUITE A
Oklahoma City, OK 73139
  • Reassigned Medicare billing, Oklahoma enrollment
  • 3 clinicians in this Medicare group
NPI 1255352316 (405) 604-5295

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
92 services17 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JCE CHIROPRACTIC CLINIC
Chiropractor
1008 SW 4TH ST STE 110
MOORE, OK 73160
Cleveland County (405) 708-6300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Edwards's NPI number?

The NPI number for Jacob Edwards is 1083093678. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Where is Jacob Edwards located?

Jacob Edwards practices at 1008 SW 4th St Ste 110, Moore, OK 73160. The listed phone number is (405) 708-6300.

What is Jacob Edwards's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jacob Edwards enrolled in Medicare?

Yes. Jacob Edwards is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jacob Edwards's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Edwards reassigns Medicare benefits to 2 organizations: Jce Chiropractic Clinic (Moore, OK) and Tmp Chiropractic PC (Oklahoma City, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Edwards accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Jacob Edwards as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Edwards was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.