Individual provider Active NPI

Jenna Renee Watson, D.C.

  • Chiropractor
  • Morro Bay, CA
National Provider Identifier
1396182291
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC32628 Issued in CA
Practice address
800 Quintana Rd
Suite 1B
Morro Bay, CA 93442-2300
Phone
(805) 772-6131
Fax
(805) 772-5281
NPI assigned
May 31, 2013
Last updated
May 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC32628 CA Primary

Addresses

Primary practice location

800 Quintana Rd
Suite 1B
Morro Bay, CA 93442-2300

Mailing address

800 Quintana Rd
Suite 1B
Morro Bay, CA 93442-2300
Phone (805) 772-6131

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

LicenseStateTypeSpecialty
DC32628CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
John M Watson Chiropractic Inc Chiropractor CurrentSince Jun 14, 2013 Accepting new patients
Dr. Carrie Silveira, D.C. Mesa Natural Health Chiropractic, Inc Chiropractor PastSince Jun 14, 2013 Accepting new patients

Locations

800 Quintana Rd
Ste 1B
Morro Bay, CA 93442
Phone (805) 772-6131

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1396182291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 QUINTANA RD",
            "address_2": "SUITE 1B",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934422300",
            "telephone_number": "805-772-6131",
            "fax_number": "805-772-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 QUINTANA RD",
            "address_2": "SUITE 1B",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934422300",
            "telephone_number": "805-772-6131",
            "fax_number": "805-772-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JENNA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morro Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.