Organization Active NPI

Patricia M Jenkins DC a Professional Chiropractic Corp

  • Chiropractor
  • Upland, CA
National Provider Identifier
1831278357
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10945 Issued in CA
Legal business name
PATRICIA M JENKINS DC A PROFESSIONAL CHIROPRACTIC CORP
Practice address
300 East 7TH Street
Ste 2F
Upland, CA 91786-6778
Phone
(909) 982-7249
Fax
(909) 982-7250
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Patricia Marie Jenkins, DC
Title
President
Phone
(909) 982-7249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 10945 CA Primary

Addresses

Primary practice location

300 East 7TH Street
Ste 2F
Upland, CA 91786-6778

Mailing address

300 East 7TH Street
Ste 2F
Upland, CA 91786-6778
Phone (909) 982-7249

National Provider Directory

National Provider Directory

Locations

300 E 7th St
Ste 2F
Upland, CA 91786
Phone (909) 982-7249

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1831278357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 EAST 7TH STREET",
            "address_2": "STE 2F",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866778",
            "telephone_number": "909-982-7249",
            "fax_number": "909-982-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EAST 7TH STREET",
            "address_2": "STE 2F",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866778",
            "telephone_number": "909-982-7249",
            "fax_number": "909-982-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA M JENKINS DC A PROFESSIONAL CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-982-7249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "10945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.