NPIMap

Organization Active NPI

Jensen Chiropractic PA

  • Occupational Health Chiropractor
  • Boise, ID
National Provider Identifier
1245427202
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
License
CHIA-950 Issued in ID
Legal business name
JENSEN CHIROPRACTIC PA
Practice address
921 S Orchard St Ste C
Boise, ID 83705-1992
Phone
(208) 426-9100
Fax
(208) 426-9104
NPI assigned
Oct 3, 2007
Last updated
Oct 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Dr. Andrew Jensen, DCNPI 1982611778
Title
President
Phone
(208) 426-9100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Chiropractor 111NX0100X CHIA-950 ID Primary

Addresses

Primary practice location

921 S Orchard St Ste C
Boise, ID 83705-1992

Mailing address

921 S Orchard St Ste C
Boise, ID 83705-1992
Phone (208) 426-9100

National Provider Directory

National Provider Directory

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": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1245427202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 S ORCHARD ST STE C",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051992",
            "telephone_number": "208-426-9100",
            "fax_number": "208-426-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S ORCHARD ST STE C",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051992",
            "telephone_number": "208-426-9100",
            "fax_number": "208-426-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENSEN CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-426-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "ID",
            "license": "CHIA-950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.