Organization Active NPI

Jenkins Chiropractic LLC

  • Chiropractor
  • Casa Grande, AZ
National Provider Identifier
1245728302
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7486 Issued in AZ
Legal business name
JENKINS CHIROPRACTIC LLC
Practice address
1891 N Trekell Rd Ste 2
Casa Grande, AZ 85122
Phone
(520) 836-2969
Fax
(520) 836-6424
NPI assigned
Apr 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Authorized official

Name
Dr. Sean Paul Jenkins, D.C.NPI 1285718627
Title
Manager/Owner
Phone
(520) 836-2969

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 7486 AZ Primary

Addresses

Primary practice location

1891 N Trekell Rd Ste 2
Casa Grande, AZ 85122

Mailing address

1891 N Trekell Rd Ste 2
Casa Grande, AZ 85122-1792
Phone (520) 836-2969

Other names 1

  • Jenkins Chiropractic Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181017000941 AZ Part B Supplier - Clinic/Group Practice 7719233790 Receives reassigned benefits from 1 practitioner
Practice locations: Casa Grande, AZ

National Provider Directory

National Provider Directory

Locations

1891 N Trekell Rd
Ste 2
Casa Grande, AZ 85122
Phone (520) 836-2969

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1245728302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 N TREKELL RD STE 2",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851221792",
            "telephone_number": "520-836-2969",
            "fax_number": "520-836-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 N TREKELL RD STE 2",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "85122",
            "telephone_number": "520-836-2969",
            "fax_number": "520-836-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENKINS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "520-836-2969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenkins Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.