Organization Active NPI

Paradigm Chiropractic and Performance LLC

  • Preferred Provider Organization
  • Washington, DC
National Provider Identifier
1659644094
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
CH030095 Issued in DC
Legal business name
PARADIGM CHIROPRACTIC AND PERFORMANCE LLC
Practice address
650 Pennsylvania Ave SE
Ste. 470
Washington, DC 20003-4318
Phone
(202) 546-0981
Fax
(202) 747-7716
NPI assigned
Feb 15, 2012
Last updated
Mar 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Dr. Henry Nathaniel Jenkins Jr., D.C.NPI 1306158407
Title
Owner/ Chiropractor
Phone
(202) 546-0981

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
Preferred Provider Organization 305R00000X CH030095 DC Primary

Addresses

Primary practice location

650 Pennsylvania Ave SE
Ste. 470
Washington, DC 20003-4318

Mailing address

650 Pennsylvania Ave SE
Ste. 470
Washington, DC 20003-4318
Phone (202) 546-0981

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120614000130 DC Part B Supplier - Clinic/Group Practice 0648434175 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Locations

650 Pennsylvania Ave SE
Ste 410
Washington, DC 20003
Phone (202) 544-0072

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1659644094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 PENNSYLVANIA AVE SE",
            "address_2": "STE. 470",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034318",
            "telephone_number": "202-546-0981",
            "fax_number": "202-747-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 PENNSYLVANIA AVE SE",
            "address_2": "STE. 470",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034318",
            "telephone_number": "202-546-0981",
            "fax_number": "202-747-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM CHIROPRACTIC AND PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "202-546-0981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "DC",
            "license": "CH030095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.