Individual provider Active NPI

Jenna Lynne Soldano, DC

  • Chiropractor
  • Fort Wayne, IN
National Provider Identifier
1649769530
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003028A Issued in IN
Practice address
1960 E Dupont Rd
Fort Wayne, IN 46825-1582
Phone
(260) 489-2266
NPI assigned
May 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003028A IN Primary

Addresses

Primary practice location

1960 E Dupont Rd
Fort Wayne, IN 46825-1582

Mailing address

10410 Lilac LN Apt 1211
Fort Wayne, IN 46825-2789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180606001988 IN Practitioner - Chiropractic 6002171493 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Health Centers Inc. CurrentSince Dec 13, 2025 Accepting new patients
Alliance Health Centers Inc. CurrentSince Dec 13, 2025 Accepting new patients
Chiropractic Resource Center Chiropractor PastSince May 21, 2018 Accepting new patients
Alliance Health Centers, Inc. Past Accepting new patients

Locations

2700 Lafayette St
Ste 110
Fort Wayne, IN 46806
Phone (260) 660-0780

3320 N Clinton St
Fort Wayne, IN 46805
Phone (260) 483-2100

Organizations & group practices 4

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": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1649769530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 LILAC LN APT 1211",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251582",
            "telephone_number": "260-489-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLDANO",
        "first_name": "JENNA",
        "middle_name": "LYNNE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003028A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.