Individual provider Active NPI

James Robert Jenkins, DC

  • Chiropractor
  • Lombard, IL
National Provider Identifier
1053473975
Registry record updated May 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038006189 Issued in IL
Practice address
477 E Butterfield Rd Ste 205
Lombard, IL 60148-5628
Phone
(630) 796-2083
Fax
(630) 442-7493
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038006189 IL Primary

Addresses

Primary practice location

477 E Butterfield Rd Ste 205
Lombard, IL 60148-5628

Mailing address

477 E Butterfield Rd Ste 205
Lombard, IL 60148-5628
Phone (630) 796-2083

Other practice location 1

477 E Butterfield Rd Ste 108
Lombard, IL 60148-5622
Phone (630) 207-5252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111021000103 IL Practitioner - Chiropractic 5092601021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

477 E Butterfield Rd
Suite 205
Lombard, IL 60148-5628
Phone (630) 207-5252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038006189ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
True Health Chiropractic and Acupuncture, PLLC CurrentSince Jan 19, 2025 Accepting new patients
Jenkins Chiropractic LTD Chiropractor CurrentSince Oct 30, 2017 Accepting new patients

Locations

477 E Butterfield Rd
Ste 205
Lombard, IL 60148
Phone (630) 207-5252

Organizations & group practices 2

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526688000000",
    "number": "1053473975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 E BUTTERFIELD RD STE 205",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485628",
            "telephone_number": "630-796-2083",
            "fax_number": "630-442-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 E BUTTERFIELD RD STE 205",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485628",
            "telephone_number": "630-796-2083",
            "fax_number": "630-442-7493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "477 E Butterfield Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "601485622",
            "country_code": "US",
            "telephone_number": "630-207-5252",
            "fax_number": "630-442-7493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2018-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2018; 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.