Organization Active NPI

Jensen Chiropractic Inc

  • Chiropractor
  • Reno, NV
National Provider Identifier
1730365933
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B576 Issued in NV
Legal business name
JENSEN CHIROPRACTIC INC
Practice address
495 Apple St
Ste 105
Reno, NV 89502-3553
Phone
(775) 323-1222
Fax
(775) 323-7002
NPI assigned
Jan 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Authorized official

Name
Tony Clark Jensen, DCNPI 1720031818
Title
Owner
Phone
(775) 323-1222

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X B576 NV Primary

Addresses

Primary practice location

495 Apple St
Ste 105
Reno, NV 89502-3553

Mailing address

495 Apple St
Ste 105
Reno, NV 89502-3553
Phone (775) 323-1222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080122000152 NV Part B Supplier - Clinic/Group Practice 5193806768 Receives reassigned benefits from 1 practitioner
Practice locations: Reno, NV

National Provider Directory

National Provider Directory

Locations

495 Apple St
Ste 105
Reno, NV 89502
Phone (775) 323-1222

112 W Moana Ln
Ste 101
Reno, NV 89509
Phone (775) 323-1222

Practitioners & affiliated clinicians

Practitioners 3

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": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1730365933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 APPLE ST",
            "address_2": "STE 105",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023553",
            "telephone_number": "775-323-1222",
            "fax_number": "775-323-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 APPLE ST",
            "address_2": "STE 105",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023553",
            "telephone_number": "775-323-1222",
            "fax_number": "775-323-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENSEN CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-323-1222",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.