Jeffrey Simon Jensen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA1400 Issued in ID

Practice address

2464 W 12600 S
Suite 110
Riverton, UT 84065-7274

Phone

(801) 477-7222

NPI assigned

Jan 23, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. 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

Practice roles

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

• River City Chiropractic, Inc.

  • Chiropractor
  • Post Falls, ID
  • NPI 1518080373
  NPD (past)

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

{
    "created_epoch": "1264204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1275864746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2464 W 12600 S",
            "address_2": "SUITE 110",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657274",
            "telephone_number": "801-477-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 W 12600 S",
            "address_2": "SUITE 110",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657274",
            "telephone_number": "801-477-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JEFFREY",
        "middle_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-23",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA1400",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7978681-1202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatum Jayde Jaster
• JCD Enterprises, LLC
• Eric Jacob Jemison, D.O.
• Heather Christine Jenkins, CMHC
• Amanda Jensen
• Michael Jensen, LCSW
• Sandra L Jensen, RN
• Brittain Eliza Jenson, FNP-BC
• Amanda Lee Johnson
• David Jay Johnson, DMD

• Chiropractor in Riverton, UT
• Providers in Riverton, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.