Jake C Tijerina, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13181 Issued in TX

Practice address

2601 W Lake Houston Pkwy
Kingwood, TX 77339-5222

Phone

(210) 477-4965

Fax

(210) 468-0682

NPI assigned

Mar 11, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Airrosti Rehab Centers

  • Chiropractor
  • San Antonio, TX
  • NPI 1831632629
  NPD (past)

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1679934160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 CENTRAL PKWY N",
            "address_2": "SUITE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325052",
            "telephone_number": "210-477-4965",
            "fax_number": "210-468-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W LAKE HOUSTON PKWY",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395222",
            "telephone_number": "210-477-4965",
            "fax_number": "210-468-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIJERINA",
        "first_name": "JAKE",
        "middle_name": "C",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Thompson
• Marisa Deaun Thompson
• Sujatha Nvenkata Thota, MD
• Peris Thuo, N.P
• Tanyanika A Tidwell, LMSW
• Rosemary Tirado, PTA
• Sai Venkat Tirumala, MD
• Alexander Tiu, MD
• TM Counseling Center
• Margaret Toby

• Chiropractor in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.