Active NPI
Jenkins Chiropractic LLC
- Chiropractor
- Casa Grande, AZ
National Provider Identifier
1245728302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7486
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Casa Grande, AZ
- NPI 1285718627
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.