NPIMap

Organization Active NPI

Lafayette Chiropractic Clinic PA

  • Chiropractor
  • Tallahassee, FL
National Provider Identifier
1457629552
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH3421 Issued in FL
Legal business name
LAFAYETTE CHIROPRACTIC CLINIC PA
Practice address
1844 Fiddler CT
Suite B
Tallahassee, FL 32308-4450
Phone
(850) 222-2952
Fax
(850) 877-0845
NPI assigned
Dec 5, 2011
Last updated
Dec 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Jan Elkjaer Jensen, DCNPI 1013901677
Title
Owner
Phone
(850) 222-2952

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH3421 FL Primary

Addresses

Primary practice location

1844 Fiddler CT
Suite B
Tallahassee, FL 32308-4450

Mailing address

1844 Fiddler CT
Suite B
Tallahassee, FL 32308-4450
Phone (850) 222-2952

National Provider Directory

National Provider Directory

Locations

1844 Fiddler Ct
#B
Tallahassee, FL 32308
Phone (850) 222-2952

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1457629552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 FIDDLER CT",
            "address_2": "SUITE B",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084450",
            "telephone_number": "850-222-2952",
            "fax_number": "850-877-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 FIDDLER CT",
            "address_2": "SUITE B",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084450",
            "telephone_number": "850-222-2952",
            "fax_number": "850-877-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE CHIROPRACTIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "ELKJAER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-222-2952",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.