Organization Active NPI

Dr. Jacklyn Muxen

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1649749219
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR. JACKLYN MUXEN
Practice address
1314 Lincoln Ave Ste 2E
San Jose, CA 95125-3012
Phone
(408) 975-9753
NPI assigned
Nov 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Authorized official

Name
Jacklyn MuxenNPI 1720555790
Title
Chiropractor
Phone
(408) 975-9753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1314 Lincoln Ave Ste 2E
San Jose, CA 95125-3012

Mailing address

1314 Lincoln Ave Ste 2E
San Jose, CA 95125-3012
Phone (408) 975-9753

Other names 1

  • Willow Glen Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1314 Lincoln Ave
Ste 2E
San Jose, CA 95125
Phone (209) 327-5303

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": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1649749219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 LINCOLN AVE STE 2E",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253012",
            "telephone_number": "408-975-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 LINCOLN AVE STE 2E",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253012",
            "telephone_number": "408-975-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JACKLYN MUXEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "MUXEN",
        "authorized_official_first_name": "JACKLYN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "408-975-9753"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Glen Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.