Organization Active NPI

Jack Mawer

  • Chiropractor
  • Encinitas, CA
National Provider Identifier
1295906857
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25984 Issued in CA
Legal business name
JACK MAWER
Practice address
681 Encinitas Blvd
Suite 312
Encinitas, CA 92024-3762
Phone
(760) 753-3488
Fax
(760) 753-3499
NPI assigned
Mar 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Dr. Jack Roy Mawer, D.C.NPI 1154499184
Title
Owner
Phone
(760) 753-3488

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 DC25984 CA Primary

Addresses

Primary practice location

681 Encinitas Blvd
Suite 312
Encinitas, CA 92024-3762

Mailing address

681 Encinitas Blvd
Suite 312
Encinitas, CA 92024-3762
Phone (760) 753-3488

Other names 1

  • Encinitas Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

681 Encinitas Blvd
Ste 312
Encinitas, CA 92024
Phone (760) 753-3488

Practitioners & affiliated clinicians

Practitioners 2

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": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1295906857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 ENCINITAS BLVD",
            "address_2": "SUITE 312",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243762",
            "telephone_number": "760-753-3488",
            "fax_number": "760-753-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 ENCINITAS BLVD",
            "address_2": "SUITE 312",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243762",
            "telephone_number": "760-753-3488",
            "fax_number": "760-753-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK MAWER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "MAWER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-753-3488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encinitas Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.