Active NPI
J.C. Swink Chiropractic Inc.
- Chiropractor
- Canyon Lake, CA
National Provider Identifier
1326210337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC24003
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryLocations
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.