Individual provider Active NPI

Jess Alan Neilen, D.C.

  • Chiropractor
  • Oakland Park, FL
National Provider Identifier
1679858369
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10439 Issued in FL
Practice address
4711 N Dixie Hwy
Suite a
Oakland Park, FL 33334-3916
Phone
(954) 332-9999
Fax
(954) 281-5402
NPI assigned
Oct 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10439 FL Primary

Addresses

Primary practice location

4711 N Dixie Hwy
Suite a
Oakland Park, FL 33334-3916

Mailing address

4711 N Dixie Hwy
Suite a
Oakland Park, FL 33334-3916
Phone (954) 332-9999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120117000363 FL Practitioner - Chiropractic 6709053663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4711 N Dixie Hwy a
Healthpoint Chiropractic
Oakland Park, FL 33334-3916
Phone (954) 332-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH10439FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Neilen Inc. Chiropractor CurrentSince Feb 1, 2012 Accepting new patients
Michael I Cohen D.C., P.a. Chiropractor PastSince Aug 29, 2012 Accepting new patients

Locations

4711 N Dixie Hwy
Ste A
Oakland Park, FL 33334
Phone (954) 332-9999

Organizations & group practices 2

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": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1679858369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 N DIXIE HWY",
            "address_2": "SUITE A",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343916",
            "telephone_number": "954-332-9999",
            "fax_number": "954-281-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 N DIXIE HWY",
            "address_2": "SUITE A",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343916",
            "telephone_number": "954-332-9999",
            "fax_number": "954-281-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEILEN",
        "first_name": "JESS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-13",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.