Individual provider Active NPI

Jeff C. Swink, D.C.

  • Chiropractor
  • Canyon Lake, CA
National Provider Identifier
1093839698
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24003 Issued in CA
Practice address
31532 Railroad Canyon Rd
Suite 112
Canyon Lake, CA 92587-9437
Phone
(951) 244-4040
Fax
(951) 244-6622
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC24003 CA Primary

Addresses

Primary practice location

31532 Railroad Canyon Rd
Suite 112
Canyon Lake, CA 92587-9437

Mailing address

31532 Railroad Canyon Rd
Suite 112
Canyon Lake, CA 92587-9437
Phone (951) 244-4040

Other names 1

  • Dr. Jeff C. Swink Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC24003CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Donahue Chiropractic, Inc Chiropractor Past Accepting new patients

Organizations & group practices 1

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1093839698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31532 RAILROAD CANYON RD",
            "address_2": "SUITE 112",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925879437",
            "telephone_number": "951-244-4040",
            "fax_number": "951-244-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31532 RAILROAD CANYON RD",
            "address_2": "SUITE 112",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925879437",
            "telephone_number": "951-244-4040",
            "fax_number": "951-244-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINK",
        "first_name": "JEFF",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFF",
            "last_name": "SWINK",
            "middle_name": "C.",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Canyon Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.