Active NPI
Jenna Marie Sodano, DC
- Pediatric Chiropractor
- Palm Beach Gardens, FL
National Provider Identifier
1639940174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Chiropractor
- License
- 14861
- Practice address
- 12300 Alternate A1A Ste 102
Palm Beach Gardens, FL 33410-2206 - Phone
- (732) 618-2067
- NPI assigned
- Jan 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Chiropractor | 111NP0017X | 14861 | FL | Primary |
Addresses
Primary practice location
12300 Alternate A1A Ste 102
Palm Beach Gardens, FL 33410-2206
Mailing address
9511 Minorca Way Apt 202
Palm Beach Gardens, FL 33418-8152
Phone (732) 618-2067
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14861 | FL | MD | Pediatric Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1639940174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9511 MINORCA WAY APT 202",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334188152",
"telephone_number": "732-618-2067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12300 ALTERNATE A1A STE 102",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102206",
"telephone_number": "732-618-2067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SODANO",
"first_name": "JENNA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-12",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "FL",
"license": "14861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.