NPIMap

Organization Active NPI

Jennings Chiropractic Corporation

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1427227933
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC21379 Issued in CA
Legal business name
JENNINGS CHIROPRACTIC CORPORATION
Practice address
1190 S Bascom Ave
Suite 110
San Jose, CA 95128-3545
Phone
(408) 293-2225
Fax
(408) 292-2225
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Dr. Timothy Joseph Jennings, D.C.
Title
Owner
Phone
(408) 293-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC21379 CA Primary

Addresses

Primary practice location

1190 S Bascom Ave
Suite 110
San Jose, CA 95128-3545

Mailing address

1190 S Bascom Ave
Suite 110
San Jose, CA 95128-3545
Phone (408) 293-2225

National Provider Directory

National Provider Directory

Locations

1190 S Bascom Ave
Ste 110
San Jose, CA 95128
Phone (408) 293-2225

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1427227933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 S BASCOM AVE",
            "address_2": "SUITE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283545",
            "telephone_number": "408-293-2225",
            "fax_number": "408-292-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 S BASCOM AVE",
            "address_2": "SUITE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283545",
            "telephone_number": "408-293-2225",
            "fax_number": "408-292-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNINGS CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-293-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21379",
            "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 Dec 9, 2008; 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.