Henry Nathaniel Jenkins Jr., DC
Individual provider Active NPI Chiropractor · Washington, DC
NPI 1306158407 · NPPES record last updated Oct 3, 2012
Key facts
- NPI
- 1306158407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH030095 (DC)
- Practice address
- 650 Pennsylvania Ave SE
Suite 410
Washington, DC 20003-4318 - Phone
- (202) 546-0981
- Fax
- (202) 747-7716
- NPI assigned
- Jul 7, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
650 Pennsylvania Ave SE
Suite 410
Washington, DC 20003-4393
Phone (202) 546-0981
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110203000921 | DC | Practitioner - Chiropractic | 9335329671 |
Reassigns benefits to 1 organization Practice locations: Washington, DC |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH030095 | DC | MD | Chiropractor |
| 0104556773 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradigm Chiropractic and Performance LLC | Current |
Accepting new patients | |
| Paradigm Integrative Health, LLC | Past | Accepting new patients |
Locations
650 Pennsylvania Ave SE
Ste 470
Washington, DC 20003
Phone (202) 546-0981
650 Pennsylvania Ave SE
Ste 410
Washington, DC 20003
Phone (202) 544-0072
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH030095 | DC | Yes |
| Chiropractor | 111N00000X | 0104556773 | VA |
Addresses
Primary practice location
650 Pennsylvania Ave SE
Suite 410
Washington, DC 20003-4318
Mailing address
650 Pennsylvania Ave SE
Suite 410
Washington, DC 20003-4318
Phone (202) 546-0981
Other providers in Washington, DC
- Dashawana Jenkins
- Derrick Jenkins
- Diane D Jenkins
- Donnika D Jenkins
- Elizabeth Ellen Jenkins
- Jena Jenkins
- Jerome Jenkins
- Jessica Jenkins
- Jovanni Jenkins
- Juanita Jenkins
All providers in Washington, DC · Chiropractor in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.