Organization Active NPI

Jenkins Chiropractic, Inc.

  • Chiropractor
  • Chillicothe, OH
National Provider Identifier
1841468006
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1322 Issued in OH
Legal business name
JENKINS CHIROPRACTIC, INC.
Practice address
37 S Hickory St
Chillicothe, OH 45601-3317
Phone
(740) 775-0550
Fax
(740) 775-0552
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Mr. Brian Jefferson Jenkins, DCNPI 1972655835
Title
Chiropractor
Phone
(740) 775-0550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 1322 OH Primary

Addresses

Primary practice location

37 S Hickory St
Chillicothe, OH 45601-3317

Mailing address

37 S Hickory St
Chillicothe, OH 45601-3317
Phone (740) 775-0550

Other identifiers 4

IdentifierTypeStateIssuer
301500669001OtherOHMEDICAL MUTUAL OF OHIO
4400286OtherOHUNITED HEALTHCARE
0811581MedicaidOH
000000120416OtherOHANTHEM BLUE CROSS/BLUE SH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050920001240 OH Part B Supplier - Clinic/Group Practice 8022042910 Receives reassigned benefits from 1 practitioner
Practice locations: Chillicothe, OH

National Provider Directory

National Provider Directory

Locations

37 S Hickory St
Chillicothe, OH 45601
Phone (740) 775-0550

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1841468006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 S HICKORY ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456013317",
            "telephone_number": "740-775-0550",
            "fax_number": "740-775-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 S HICKORY ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456013317",
            "telephone_number": "740-775-0550",
            "fax_number": "740-775-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENKINS CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JEFFERSON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "740-775-0550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "301500669001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4400286",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0811581",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/BLUE SH",
            "identifier": "000000120416",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.