Organization Active NPI

Edwards Chiropractic PC

  • Clinic/Center
  • San Jose, CA
National Provider Identifier
1093234593
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EDWARDS CHIROPRACTIC PC
Doing business as
Chiropractic From The Heart
Practice address
300 S 11TH St
San Jose, CA 95112-2217
Phone
(408) 600-1188
Fax
(408) 280-7844
NPI assigned
Sep 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Jeana M Edwards, DC
Title
President
Phone
(408) 600-1188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

300 S 11TH St
San Jose, CA 95112-2217

Mailing address

300 S 11TH St
San Jose, CA 95112-2217
Phone (408) 600-1188

Other identifiers 1

IdentifierTypeStateIssuer
F2530272OtherCACA DL

Other names 1

  • Chiropractic From The Heart Doing business as

National Provider Directory

National Provider Directory

Locations

300 S 11th St
San Jose, CA 95112
Phone (408) 600-1188

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093234593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 11TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122217",
            "telephone_number": "408-600-1188",
            "fax_number": "408-280-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 11TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122217",
            "telephone_number": "408-600-1188",
            "fax_number": "408-280-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JEANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-600-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DL",
            "identifier": "F2530272",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic From The Heart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.