Individual provider Active NPI

Jennifer S Klingstedt, D.C.

  • Chiropractor
  • Concord, CA
National Provider Identifier
1780622068
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-30199 Issued in CA
Practice address
3556 Concord Blvd
Ste. a
Concord, CA 94519-2397
Phone
(925) 676-4678
Fax
(925) 676-4679
NPI assigned
Jun 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-30199 CA Primary

Addresses

Primary practice location

3556 Concord Blvd
Ste. a
Concord, CA 94519-2397

Mailing address

3556 Concord Blvd
Ste. a
Concord, CA 94519-2397
Phone (925) 676-4678

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

State licenses

LicenseStateTypeSpecialty
DC-30199CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780622068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3556 CONCORD BLVD",
            "address_2": "STE. A",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192397",
            "telephone_number": "925-676-4678",
            "fax_number": "925-676-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3556 CONCORD BLVD",
            "address_2": "STE. A",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192397",
            "telephone_number": "925-676-4678",
            "fax_number": "925-676-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGSTEDT",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-30199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.