Active NPI
Robert Carl Jenson Jr., D.C.
- Chiropractor
- Decatur, AL
National Provider Identifier
1336240266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1104
- Practice address
- 2424 Danville Rd SW Ste O
Decatur, AL 35603-4219 - Phone
- (256) 353-0817
- Fax
- (256) 573-1020
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1104 | AL | Primary |
Addresses
Primary practice location
2424 Danville Rd SW Ste O
Decatur, AL 35603-4219
Mailing address
1311 Berrivine Dr NE
Hartselle, AL 35640-2088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1104 | AL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1336240266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 BERRIVINE DR NE",
"city": "HARTSELLE",
"state": "AL",
"postal_code": "356402088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 DANVILLE RD SW STE O",
"city": "DECATUR",
"state": "AL",
"postal_code": "356034219",
"telephone_number": "256-353-0817",
"fax_number": "256-573-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSON",
"first_name": "ROBERT",
"middle_name": "CARL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "1104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.