Organization Active NPI

Phillips, White & Jarrett Chiropractic Corporation

  • Chiropractor
  • Yucaipa, CA
National Provider Identifier
1083921159
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0240650 Issued in CA
Legal business name
PHILLIPS, WHITE & JARRETT CHIROPRACTIC CORPORATION
Practice address
33733 Yucaipa Blvd
Suite #7
Yucaipa, CA 92399-2256
Phone
(909) 797-1705
Fax
(909) 797-6262
NPI assigned
Sep 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Dr. Robert E Jarrett, D.C.NPI 1104903764
Title
Owner/Operator
Phone
(909) 797-1705

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 DC0240650 CA Primary

Addresses

Primary practice location

33733 Yucaipa Blvd
Suite #7
Yucaipa, CA 92399-2256

Mailing address

33733 Yucaipa Blvd
Suite #7
Yucaipa, CA 92399-2256
Phone (909) 797-1705

Other names 1

  • Jarrett Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

33733 Yucaipa Blvd
Ste 7
Yucaipa, CA 92399
Phone (909) 797-1705

Practitioners & affiliated clinicians

Practitioners 2

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": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1083921159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33733 YUCAIPA BLVD",
            "address_2": "SUITE #7",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992256",
            "telephone_number": "909-797-1705",
            "fax_number": "909-797-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33733 YUCAIPA BLVD",
            "address_2": "SUITE #7",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992256",
            "telephone_number": "909-797-1705",
            "fax_number": "909-797-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS, WHITE & JARRETT CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "JARRETT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "909-797-1705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0240650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jarrett Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.