Individual provider Active NPI

Jessica Mee-Lynn Bentley, DC

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1760136337
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
35107 Issued in CA
Practice address
2239 Moorpark Ave Ste 102
San Jose, CA 95128-2661
Phone
(504) 452-4402
NPI assigned
Feb 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 35107 CA Primary

Addresses

Primary practice location

2239 Moorpark Ave Ste 102
San Jose, CA 95128-2661

Mailing address

2239 Moorpark Ave Ste 102
San Jose, CA 95128-2661
Phone (504) 452-4402

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220525002166 CA Practitioner - Chiropractic 8820476245 Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2239 Moorpark Ave
Suite 102
San Jose, CA 95128-2661
Phone (669) 244-1313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35107CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bentley Chiropractic Corporation Chiropractor CurrentSince Nov 7, 2025 Accepting new patients
Dowling Legacy Chiropractic & Wellness, Inc. Chiropractor CurrentSince Dec 8, 2024 Accepting new patients

Locations

2239 Moorpark Ave
Ste 102
San Jose, CA 95128
Phone (408) 294-2894

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1760136337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 MOORPARK AVE STE 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282661",
            "telephone_number": "504-452-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 MOORPARK AVE STE 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282661",
            "telephone_number": "504-452-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "JESSICA",
        "middle_name": "MEE-LYNN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "35107",
            "primary": true
        }
    ],
    "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 Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.