NPIMap

Organization Active NPI

Je Chiropractic and Wellness

  • Chiropractor
  • Riverside, CA
National Provider Identifier
1063957785
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32740 Issued in CA
Legal business name
JE CHIROPRACTIC AND WELLNESS
Practice address
4515 Central Ave
Ste.202
Riverside, CA 92506-2396
Phone
(951) 742-7777
Fax
(951) 742-7700
NPI assigned
Jan 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Authorized official

Name
Dr. Jensen Escoto, D.C.NPI 1851783781
Title
Chiropractor/ Owner
Phone
(951) 742-7777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 32740 CA Primary

Addresses

Primary practice location

4515 Central Ave
Ste.202
Riverside, CA 92506-2396

Mailing address

4515 Central Ave
Ste.202
Riverside, CA 92506-2396
Phone (951) 742-7777

National Provider Directory

National Provider Directory

Locations

4515 Central Ave
Ste 202
Riverside, CA 92506
Phone (951) 742-7777

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1063957785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 CENTRAL AVE",
            "address_2": "STE.202",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062396",
            "telephone_number": "951-742-7777",
            "fax_number": "951-742-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 CENTRAL AVE",
            "address_2": "STE.202",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062396",
            "telephone_number": "951-742-7777",
            "fax_number": "951-742-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JE CHIROPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "ESCOTO",
        "authorized_official_first_name": "JENSEN",
        "authorized_official_title_or_position": "CHIROPRACTOR/ OWNER",
        "authorized_official_telephone_number": "951-742-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.