Individual provider Active NPI

Jacklyn Renee Muxen, D.C.

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1720555790
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34346 Issued in CA
Practice address
1276 Lincoln Ave Ste 205
San Jose, CA 95125-3008
Phone
(408) 975-9753
NPI assigned
Oct 29, 2018
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34346 CA Primary
Internist Chiropractor 111NI0900X 34346 CA
Sports Physician Chiropractor 111NS0005X 34346 CA
Pediatric Chiropractor 111NP0017X 34346 CA

Addresses

Primary practice location

1276 Lincoln Ave Ste 205
San Jose, CA 95125-3008

Mailing address

1276 Lincoln Ave Ste 205
San Jose, CA 95125-3008
Phone (408) 975-9753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34346CAMDInternist Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Glen Chiropractic Chiropractor CurrentSince Jul 22, 2025 Accepting new patients
Dr. Jacklyn Muxen Chiropractor Current Accepting new patients

Locations

1276 Lincoln Ave
Ste 205
San Jose, CA 95125
Phone (408) 975-9753

1314 Lincoln Ave
Ste 2E
San Jose, CA 95125
Phone (209) 327-5303

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1720555790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 LINCOLN AVE STE 205",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253008",
            "telephone_number": "408-975-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 LINCOLN AVE STE 205",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253008",
            "telephone_number": "408-975-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUXEN",
        "first_name": "JACKLYN",
        "middle_name": "RENEE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34346",
            "primary": true
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "CA",
            "license": "34346",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "34346",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "CA",
            "license": "34346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.