Jennings Orthopedic Inc

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

CPO02544 Issued in CA

Legal business name

JENNINGS ORTHOPEDIC INC

Practice address

10683 Magnolia Ave
Suite a
Riverside, CA 92505-1893

Phone

(951) 352-2029

Fax

(951) 352-2549

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Henry Alvin Jennings Jr., CPONPI 1225108475

Title

President

Phone

(951) 352-2029

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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.

• Henry Alvin Jennings Jr.

  • Orthotist
  • Riverside, CA
  • NPI 1225108475
  NPD Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1023188943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10683 MAGNOLIA AVE",
            "address_2": "SUITE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051893",
            "telephone_number": "951-352-2029",
            "fax_number": "951-352-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10683 MAGNOLIA AVE",
            "address_2": "SUITE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051893",
            "telephone_number": "951-352-2029",
            "fax_number": "951-352-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNINGS ORTHOPEDIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "ALVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-352-2029",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": "CA",
            "license": "CPO02544",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": "CA",
            "license": "CPO02544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GXC000030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savanna Jane Jenkins
• Asia Monae Jenks
• Olivia Jenks, LPE
• David K Jenne, DPM
• Jennifer Marie Hughey
• Henry Alvin Jennings Jr.
• Joshua Jennings
• Jenny Sun Behavior Consultant LLC
• Lauren Mae Jensen, CF-RPE
• Jennifer Jerahian

• Prosthetist in Riverside, CA
• Providers in Riverside, CA by specialty
• Prosthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.