Individual provider Active NPI

Mindi L. Jentes, D.C.

  • Chiropractor
  • Los Alamitos, CA
National Provider Identifier
1821407388
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33030 Issued in CA
Practice address
4132 Katella Ave Ste 204
Los Alamitos, CA 90720-6601
Phone
(562) 598-2746
Fax
(215) 902-2327
NPI assigned
Aug 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33030 CA Primary

Addresses

Primary practice location

4132 Katella Ave Ste 204
Los Alamitos, CA 90720-6601

Mailing address

3718 Ostrom Ave
Long Beach, CA 90808-2434
Phone (562) 598-2756

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200213000556 NC Practitioner - Chiropractic 8224349915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

805 N Pollock St
Selma, NC 27576-2210
Phone (919) 351-5787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33030CAMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Garner Health Upper Cervical Chiropractic, PLLC Chiropractor CurrentSince Mar 30, 2025 Accepting new patients
Brio Wellness PLLC Chiropractor CurrentSince Apr 25, 2023 Accepting new patients
Dr. Mindi L. Jentes Chiropractor PastSince Aug 11, 2014 Accepting new patients

Locations

10931 Strickland Rd
Ste 131
Raleigh, NC 27615
Phone (919) 518-1234

805 N Pollock St
Selma, NC 27576
Phone (919) 351-5787

Organizations & group practices 3

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": "1407542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1821407388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718 OSTROM AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082434",
            "telephone_number": "562-598-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 KATELLA AVE STE 204",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907206601",
            "telephone_number": "562-598-2746",
            "fax_number": "215-902-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENTES",
        "first_name": "MINDI",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-09",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.