Individual provider Active NPI

Jennifer Marie Wells, D.C.

  • Chiropractor
  • Norco, CA
National Provider Identifier
1669406922
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
24028 Issued in CA
Practice address
911 6TH St
Norco, CA 92860-1442
Phone
(951) 427-1820
Fax
(951) 427-1822
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 24028 CA Primary

Addresses

Primary practice location

911 6TH St
Norco, CA 92860-1442

Mailing address

911 6TH St
Norco, CA 92860-1442
Phone (951) 427-1820

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051213000924 CA Practitioner - Chiropractic 0446271860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

911 6TH St
Norco, CA 92860-1442
Phone (951) 427-1820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24028CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer M Wells Chiropractic Corporation Chiropractor CurrentSince May 22, 2012 Accepting new patients
Paulson-Chen Medical Associates, PC Chiropractor Past Accepting new patients
R. Chen Chiropractic, Inc. Past Accepting new patients

Locations

911 6th St
Norco, CA 92860
Phone (951) 427-1820

Organizations & group practices 3

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1669406922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 6TH ST",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928601442",
            "telephone_number": "951-427-1820",
            "fax_number": "951-427-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 6TH ST",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928601442",
            "telephone_number": "951-427-1820",
            "fax_number": "951-427-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "24028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.