Jensen Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JENSEN CHIROPRACTIC INC

Doing business as

Shasta Spine Center

Practice address

1115 Eureka Way # B
Redding, CA 96001-0816

Phone

(530) 515-9176

Fax

(530) 241-2798

NPI assigned

Jul 3, 2023

Last updated

Jul 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jens Ole Jensen, DC

Title

Chief Executive Officer

Phone

(530) 241-2798

Specialties & licenses 2

Addresses

Other names 1

• SHASTA SPINE CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jens Ole S Jensen, DC

  • Chiropractor
  • Redding, CA
  • NPI 1356376024
  Medicare reassignment Care Compare group NPD
• Kimberley R. Jensen, D.C.

  • Chiropractor
  • Redding, CA
  • NPI 1114934999
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1396422192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 EUREKA WAY # B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010816",
            "telephone_number": "530-241-2798",
            "fax_number": "530-241-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 EUREKA WAY # B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010816",
            "telephone_number": "530-515-9176",
            "fax_number": "530-241-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENSEN CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "JENS",
        "authorized_official_middle_name": "OLE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "530-241-2798",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHASTA SPINE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SHASTA SPINE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric J Jenkinson, MD
• Julia Jennex
• Brandon Jennings, FNP-C
• Raven Anne Jennings, FNP
• Jensen and Jensen DCS (shasta spine center)
• Libby Nicol Jensen-Mirande
• Jens Ole S Jensen, DC
• Kimberley R. Jensen, D.C.
• Stephanie Joy Jensen, CD
• Santro Sophia Jepil, RN BSN

• Chiropractor in Redding, CA
• Providers in Redding, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.