Active NPI
Jennifer Nicole Cirillo, D.C., B.S
- Chiropractor
- Oceanside, CA
National Provider Identifier
1740588649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 32214
- Practice address
- 3772 Mission Ave
Oceanside, CA 92058-1453 - Phone
- (760) 630-8400
- NPI assigned
- Mar 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH10190 | FL | |
| Chiropractor | 111N00000X | CHR-6655 | CO | |
| Chiropractor | 111N00000X | 32214 | CA | Primary |
Addresses
Primary practice location
3772 Mission Ave
Oceanside, CA 92058-1453
Mailing address
3191 Noreen Way
Oceanside, CA 92054-3849
Phone (941) 685-5366
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)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHR-6655 | CO | MD | Chiropractor |
| CH10190 | FL | MD | Chiropractor |
| 32214 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377043200000",
"number": "1740588649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3191 NOREEN WAY",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920543849",
"telephone_number": "941-685-5366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3772 MISSION AVE",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920581453",
"telephone_number": "760-630-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIRILLO",
"first_name": "JENNIFER",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "D.C., B.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-02",
"last_updated": "2013-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH10190",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR-6655",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "32214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.