Active NPI
James W. Jenkins, DC
- Chiropractor
- Deridder, LA
National Provider Identifier
1164561254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1054
- Practice address
- 304 North Pine St
Deridder, LA 70634 - Phone
- (337) 463-7313
- Fax
- (337) 463-7320
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1054 | LA | Primary |
Addresses
Primary practice location
304 North Pine St
Deridder, LA 70634
Mailing address
304 North Pine St.
Deridder, LA 70634
Phone (337) 463-7313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
304 N Pine St
Deridder, LA 70634-3904
Phone (337) 463-7313
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1054 | LA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A2H-BLM LLC | Current | Accepting new patients | |
| James W. Jenkins, D.C., PCC | Chiropractor | Current | Accepting new patients |
Locations
304 N Pine St
Deridder, LA 70634
Phone (337) 463-7313
Organizations & group practices 2
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.
-
- Chiropractor
- Deridder, LA
- NPI 1174789069
-
- Oxygen Equipment & Supplies (DME)
- Deridder, LA
- NPI 1336514504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1164561254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 NORTH PINE ST.",
"city": "DERIDDER",
"state": "LA",
"postal_code": "70634",
"telephone_number": "337-463-7313",
"fax_number": "337-463-7320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 NORTH PINE ST",
"city": "DERIDDER",
"state": "LA",
"postal_code": "70634",
"telephone_number": "337-463-7313",
"fax_number": "337-463-7320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "JAMES",
"middle_name": "W.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deridder, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.