Active NPI
Lance Allen Jenkins, D.C.
- Chiropractor
- Sac City, IA
National Provider Identifier
1487930764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007466
- Practice address
- 518 Audubon St
Sac City, IA 50583-2208 - Phone
- (319) 404-2913
- NPI assigned
- Oct 31, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 007466 | IA | Primary |
Addresses
Primary practice location
518 Audubon St
Sac City, IA 50583-2208
Mailing address
PO Box 301
Sac City, IA 50583-0301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
518 Audubon St
Sac City, IA 50583-2212
Phone (712) 662-8016
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007466 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jenkins Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
Locations
518 Audubon St
Sac City, IA 50583
Phone (319) 404-2913
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.
-
- Chiropractor
- Sac City, IA
- NPI 1689950966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1487930764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 301",
"city": "SAC CITY",
"state": "IA",
"postal_code": "505830301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 AUDUBON ST",
"city": "SAC CITY",
"state": "IA",
"postal_code": "505832208",
"telephone_number": "319-404-2913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "LANCE",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-31",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "007466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sac City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.