NPIMap

Organization Active NPI

Kim & Ole Jensen DC

  • Chiropractor
  • Redding, CA
National Provider Identifier
1457547101
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC19853 Issued in CA
Legal business name
KIM & OLE JENSEN DC
Practice address
1115 Eureka Way
Redding, CA 96001-0816
Phone
(530) 241-2798
Fax
(530) 241-3066
NPI assigned
Sep 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Dr. Jens Ole S Jensen, DC
Title
Co-Owner
Phone
(530) 241-2798

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC19853 CA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC19769 CA

Addresses

Primary practice location

1115 Eureka Way
Redding, CA 96001-0816

Mailing address

1115 Eureka Way
Redding, CA 96001-0816
Phone (530) 241-2798

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ55850ZOtherCABLUE SHIELD OF CALIFORNIA

Other names 1

  • SHASTA SPINE CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jensen and Jensen DCS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1457547101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 EUREKA WAY",
            "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",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010816",
            "telephone_number": "530-241-2798",
            "fax_number": "530-241-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM & OLE JENSEN DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "JENS OLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "530-241-2798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC19853",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC19769",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ55850Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHASTA SPINE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.