Individual provider Active NPI

James W Yenzer Jr., D.C.

  • Chiropractor
  • Pensacola, FL
National Provider Identifier
1255476024
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0005934 Issued in FL
Practice address
610 N Navy Blvd
Pensacola, FL 32507-1242
Phone
(850) 457-7999
NPI assigned
Feb 20, 2007
Last updated
Mar 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0005934 FL Primary

Addresses

Primary practice location

610 N Navy Blvd
Pensacola, FL 32507-1242

Mailing address

610 N Navy Blvd
Pensacola, FL 32507-1208
Phone (850) 457-7999

Other identifiers 2

IdentifierTypeStateIssuer
608821200OtherFLDEPARTMENT OF LABOR
050670200MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040109000150 FL Practitioner - Chiropractic 9032019914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

610 N Navy Blvd
Pensacola, FL 32507-1208
Phone (850) 457-7999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
CH0005934FLMDChiropractor
5934FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Warrington Chiropractic Clinic Corp Chiropractor CurrentSince Jan 2, 1998 Accepting new patients

Locations

610 N Navy Blvd
Pensacola, FL 32507
Phone (850) 457-7999

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1255476024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N NAVY BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325071208",
            "telephone_number": "850-457-7999",
            "fax_number": "850-457-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N NAVY BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325071242",
            "telephone_number": "850-457-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENZER",
        "first_name": "JAMES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0005934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT  OF LABOR",
            "identifier": "608821200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050670200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.

Verify at the official NPI Registry.