Braeden Tyler-Makai Jensen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-2388 Issued in ID

Practice address

2572 E Mariposa Dr
Eagle, ID 83616-5555

Phone

(661) 388-3362

NPI assigned

Feb 14, 2024

Last updated

Feb 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Axis Health, Inc.

  • Chiropractor
  • Grants Pass, OR
  • NPI 1780988261
  Medicare reassignment NPD
• Ryan Baker, D.C. P.C.

  • Chiropractor
  • Grants Pass, OR
  • NPI 1336203835
  NPD

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1700641271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2572 E MARIPOSA DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165555",
            "telephone_number": "661-388-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2572 E MARIPOSA DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165555",
            "telephone_number": "661-388-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "BRAEDEN",
        "middle_name": "TYLER-MAKAI",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-2388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iron Gold Senior Living LLC (Twin Rivers Assisted Living and Memory Care)
• J M Jordan Psychology Professional Corporation (Eagle Therapist Collective)
• J&K Anesthesia, PLLC
• Hailey Jellison, LMT
• Jensen Orthopedics
• Catlin Jensen
• Leonard Jensen, FNP
• Stormie Johanson, DC
• Jeffery L Johnson, PA
• Judith L. Johnson, APRN, CNS

• Chiropractor in Eagle, ID
• Providers in Eagle, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.