Active NPI
Jennifer R O'Brien, D.C
- Chiropractor
- Santa Fe, NM
National Provider Identifier
1336477801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1800
- Practice address
- 2009 Botulph Rd
Suite 100
Santa Fe, NM 87505-1107 - Phone
- (505) 986-2870
- Fax
- (505) 986-2871
- NPI assigned
- Nov 21, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 1800 | NM | Primary |
Addresses
Primary practice location
2009 Botulph Rd
Suite 100
Santa Fe, NM 87505-1107
Mailing address
222 Sombrio Dr
Santa Fe, NM 87501-1540
Phone (505) 986-2870
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1800 | NM | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300147200000",
"number": "1336477801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 SOMBRIO DR",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875011540",
"telephone_number": "505-986-2870",
"fax_number": "505-986-2871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2009 BOTULPH RD",
"address_2": "SUITE 100",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875051107",
"telephone_number": "505-986-2870",
"fax_number": "505-986-2871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "JENNIFER",
"middle_name": "R",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-21",
"last_updated": "2011-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NM",
"license": "1800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.