Individual provider Active NPI

Michael E Janzen, D.C.

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1821038167
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26739 Issued in CA
Practice address
6050 Hellyer Ave Ste 100
San Jose, CA 95138-1042
Phone
(408) 379-0133
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 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 DC26739 CA Primary

Addresses

Primary practice location

6050 Hellyer Ave Ste 100
San Jose, CA 95138-1042

Mailing address

6050 Hellyer Ave Ste 100
San Jose, CA 95138-1042
Phone (408) 379-0133

Other practice location 1

828 S Bascom Ave Ste 110
San Jose, CA 95128-2652
Phone (408) 379-0133

Other practice location 2

256 E Hamilton Ave
Suite F
Campbell, CA 95008-0237
Phone (408) 379-0133

Other identifiers 1

IdentifierTypeStateIssuer
200499248OtherCATAX ID

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
DC26739CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1821038167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 HELLYER AVE STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951381042",
            "telephone_number": "408-379-0133",
            "fax_number": "408-379-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 HELLYER AVE STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951381042",
            "telephone_number": "408-379-0133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "828 S Bascom Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951282652",
            "country_code": "US",
            "telephone_number": "408-379-0133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "256 E Hamilton Ave",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "Campbell",
            "state": "CA",
            "postal_code": "950080237",
            "country_code": "US",
            "telephone_number": "408-379-0133",
            "fax_number": "408-379-3931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANZEN",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "200499248",
            "state": "CA"
        }
    ],
    "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 20, 2024; 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.