Organization Active NPI

J.C. Swink Chiropractic Inc.

  • Chiropractor
  • Canyon Lake, CA
National Provider Identifier
1326210337
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24003 Issued in CA
Legal business name
J.C. SWINK CHIROPRACTIC INC.
Practice address
31532 Railroad Canyon Rd
Suite 112
Canyon Lake, CA 92587-9437
Phone
(951) 764-9054
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Dr. Jeff C Swink, D.C.
Title
President
Phone
(951) 764-9054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC24003 CA Primary

Addresses

Primary practice location

31532 Railroad Canyon Rd
Suite 112
Canyon Lake, CA 92587-9437

Mailing address

31532 Railroad Canyon Rd
Suite 112
Canyon Lake, CA 92587-9437
Phone (951) 764-9054

National Provider Directory

National Provider Directory

Locations

31532 Railroad Canyon Rd
Ste 112
Canyon Lake, CA 92587
Phone (951) 244-4040

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1326210337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31532 RAILROAD CANYON RD",
            "address_2": "SUITE 112",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925879437",
            "telephone_number": "951-764-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31532 RAILROAD CANYON RD",
            "address_2": "SUITE 112",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925879437",
            "telephone_number": "951-764-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.C. SWINK CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "SWINK",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-764-9054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.