Active NPI
Ea Nielsen, DC
- Chiropractor
- San Jose, CA
National Provider Identifier
1396939872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- D.C.23618
- Practice address
- 3591 Stevens Creek Blvd
San Jose, CA 95117-1047 - Phone
- (408) 835-9803
- Fax
- (408) 241-1777
- NPI assigned
- Aug 28, 2007
- Sex
- Female
- 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 | D.C.23618 | CA | Primary |
Addresses
Primary practice location
3591 Stevens Creek Blvd
San Jose, CA 95117-1047
Mailing address
2971 Salem Dr
Santa Clara, CA 95051-5501
Phone (408) 835-9803
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 |
|---|---|---|---|
| D.C.23618 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249603200000",
"number": "1396939872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2971 SALEM DR",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950515501",
"telephone_number": "408-835-9803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3591 STEVENS CREEK BLVD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951171047",
"telephone_number": "408-835-9803",
"fax_number": "408-241-1777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSEN",
"first_name": "EA",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-28",
"last_updated": "2009-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "D.C.23618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.