Mansfield Spinal Care

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MANSFIELD SPINAL CARE

Practice address

1600 Highway 287 N
Suite 102
Mansfield, TX 76063-8853

Phone

(817) 477-2907

Fax

(817) 473-3507

NPI assigned

Aug 22, 2006

Last updated

Jun 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keith N Jensen, D.C.NPI 1841349958

Title

President

Phone

(817) 477-2907

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Keith N Jensen, DC

  • Chiropractor
  • Mansfield, TX
  • NPI 1841349958
  Authorized official Same address or phone

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1700992476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HIGHWAY 287 N",
            "address_2": "SUITE 102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638853",
            "telephone_number": "817-477-2907",
            "fax_number": "817-473-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HIGHWAY 287 N",
            "address_2": "SUITE 102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638853",
            "telephone_number": "817-477-2907",
            "fax_number": "817-473-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD SPINAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-477-2907",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0032JK",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mansfield Pain Services, LLC
• Mansfield Pediatrics
• Mansfield Physician Staffing, PLLC
• Mansfield Smiles and Orthodontics, PC (Mansfield Smiles and Orthodontics)
• Mansfield SNF LLC (Isle at Watercrest - Mansfield, LLC)
• Mansfield Surgical Plaza LLC (Mansfield Surgery Center)
• Mansfield Vision Center LLC
• Mansfield Walnut Creek Medical (First Choice Emergency Room)
• Soleima Dallana Mantilla, NP
• Miranda Manyande, M. S. CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.