Jack Miller Eivins, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

023798 Issued in CA

Practice address

1506 S Court St
Visalia, CA 93277-4914

Phone

(559) 734-1110

Fax

(559) 734-1123

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jack Eivins Chiropractic

  • Health Service Clinic/Center
  • Visalia, CA
  • NPI 1740009893
  NPD Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790833176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 S COURT ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774914",
            "telephone_number": "559-734-1110",
            "fax_number": "559-734-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 S COURT ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774914",
            "telephone_number": "559-734-1110",
            "fax_number": "559-734-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIVINS",
        "first_name": "JACK",
        "middle_name": "MILLER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "023798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Ann Edwards, MD
• Phyllis Kathleen Edwards, CAS II
• Shybra Lanise Edwards
• Priscilla Egbosimba
• Patricia Eggman
• Marisa J Eivins
• El Cerro Primary Care
• Gavin Stephen Elder, DO
• Kevin Allen Eldridge, COTA
• Elisabeth a. Bossingham, M.D., Inc

• Chiropractor in Visalia, CA
• Providers in Visalia, CA by specialty
• Chiropractor in California

• 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.
• 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.