Organization Active NPI

James W. Jenkins, D.C., PCC

Doing business as The Chiropractic Clinic

  • Chiropractor
  • Deridder, LA
National Provider Identifier
1174789069
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JAMES W. JENKINS, D.C., PCC
Doing business as
The Chiropractic Clinic
Practice address
304 N Pine St
Deridder, LA 70634-3904
Phone
(337) 463-7313
NPI assigned
Jul 31, 2008
Last updated
Aug 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Dr. James W Jenkins, DCNPI 1164561254
Title
Owner
Phone
(337) 463-7313

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 Primary

Addresses

Primary practice location

304 N Pine St
Deridder, LA 70634-3904

Mailing address

304 N Pine St
Deridder, LA 70634-3904
Phone (337) 463-7313

Other names 1

  • The Chiropractic Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080917000643 LA Part B Supplier - Clinic/Group Practice 9537236583 Receives reassigned benefits from 1 practitioner
Practice locations: Deridder, LA

National Provider Directory

National Provider Directory

Locations

304 N Pine St
Deridder, LA 70634
Phone (337) 463-7313

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1174789069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N PINE ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706343904",
            "telephone_number": "337-463-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N PINE ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706343904",
            "telephone_number": "337-463-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W. JENKINS, D.C., PCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-463-7313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.