Organization Active NPI

Jenkins Chiropractic LLC

  • Chiropractor
  • Milford, CT
National Provider Identifier
1639314479
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1371 Issued in CT
Legal business name
JENKINS CHIROPRACTIC LLC
Practice address
97 Gulf St
Milford, CT 06460-4812
Phone
(203) 877-4198
Fax
(203) 877-6394
NPI assigned
Dec 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Authorized official

Name
Dr. Jason Robert Jenkins, DC
Title
Member
Phone
(203) 877-4198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1371 CT Primary

Addresses

Primary practice location

97 Gulf St
Milford, CT 06460-4812

Mailing address

97 Gulf St
Milford, CT 06460-4812
Phone (203) 877-4198

Other identifiers 4

IdentifierTypeStateIssuer
1998049OtherCTUNITED HEALTH CARE PROVIDER NUMBER
3191251OtherCTAETNA PROVIDER NUMBER
050001371CT02OtherCTANTHEM BC/BS PROVIDER NUMBER
U82466OtherCTUNIVERSAL PIN NUMBER

National Provider Directory

National Provider Directory

Locations

97 Gulf St
Milford, CT 06460
Phone (203) 877-4198

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": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1639314479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 GULF ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604812",
            "telephone_number": "203-877-4198",
            "fax_number": "203-877-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 GULF ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604812",
            "telephone_number": "203-877-4198",
            "fax_number": "203-877-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENKINS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-877-4198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE PROVIDER NUMBER",
            "identifier": "1998049",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "3191251",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS PROVIDER NUMBER",
            "identifier": "050001371CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL PIN NUMBER",
            "identifier": "U82466",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.