Organization Active NPI

Jenkins Chiropractic, LLC

Doing business as Jenkins Chiropractic

  • Chiropractor
  • Sac City, IA
National Provider Identifier
1689950966
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007466 Issued in IA
Legal business name
JENKINS CHIROPRACTIC, LLC
Doing business as
Jenkins Chiropractic
Practice address
518 Audubon St
Sac City, IA 50583-2208
Phone
(319) 404-2913
NPI assigned
Oct 31, 2011
Last updated
Oct 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Dr. Lance Allen Jenkins, D.C.NPI 1487930764
Title
Owner
Phone
(712) 662-4494

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
Chiropractor 111N00000X 007466 IA Primary

Addresses

Primary practice location

518 Audubon St
Sac City, IA 50583-2208

Mailing address

PO Box 301
Sac City, IA 50583-0301

Other names 1

  • Jenkins Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120314000584 IA Part B Supplier - Clinic/Group Practice 2961661756 Receives reassigned benefits from 1 practitioner
Practice locations: Sac City, IA

National Provider Directory

National Provider Directory

Locations

518 Audubon St
Sac City, IA 50583
Phone (319) 404-2913

Practitioners & affiliated clinicians

Practitioners 1

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": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1689950966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301",
            "city": "SAC CITY",
            "state": "IA",
            "postal_code": "505830301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 AUDUBON ST",
            "city": "SAC CITY",
            "state": "IA",
            "postal_code": "505832208",
            "telephone_number": "319-404-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENKINS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-662-4494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenkins Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sac City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.