Organization Active NPI

Enstrom Chiropractic Corporation

  • Chiropractor
  • Escondido, CA
National Provider Identifier
1124392675
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC31530 Issued in CA
Legal business name
ENSTROM CHIROPRACTIC CORPORATION
Practice address
126 S Grape St
Escondido, CA 92025-4407
Phone
(760) 747-2780
NPI assigned
Mar 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Dr. Jenny L Enstrom, DC
Title
Owner
Phone
(760) 747-2780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC31530 CA Primary

Addresses

Primary practice location

126 S Grape St
Escondido, CA 92025-4407

Mailing address

126 S Grape St
Escondido, CA 92025-4407
Phone (760) 747-2780

Other names 1

  • Back To Performance Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

126 S Grape St
Escondido, CA 92025
Phone (760) 739-8982

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1124392675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S GRAPE ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254407",
            "telephone_number": "760-747-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S GRAPE ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254407",
            "telephone_number": "760-747-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSTROM CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "ENSTROM",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-747-2780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back To Performance Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.