Individual provider Active NPI

Jose R Rincon, DC

  • Chiropractor
  • Greenacres, FL
National Provider Identifier
1508447459
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13482 Issued in FL
Practice address
3927 S Jog Rd
Greenacres, FL 33467-1511
Phone
(561) 331-8398
NPI assigned
Apr 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13482 FL Primary

Addresses

Primary practice location

3927 S Jog Rd
Greenacres, FL 33467-1511

Mailing address

12480 Orange Grove Blvd
Royal Palm Beach, FL 33411-8930
Phone (561) 537-0260

Other practice location 1

4332 Forest Hill Blvd
West Palm Beach, FL 33406-5718
Phone (561) 965-2500

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH13482FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Chiropractic and Wellness Center Corp CurrentSince May 21, 2023 Accepting new patients
Drjasenmed, Inc. Chiropractor PastSince Apr 1, 2021 Accepting new patients

Locations

3927 S Jog Rd
Greenacres, FL 33467
Phone (561) 331-8398

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1508447459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12480 ORANGE GROVE BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118930",
            "telephone_number": "561-537-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3927 S JOG RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334671511",
            "telephone_number": "561-331-8398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4332 Forest Hill Blvd",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334065718",
            "country_code": "US",
            "telephone_number": "561-965-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RINCON",
        "first_name": "JOSE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.