Active NPI
Jenny Lynn Enstrom, D.C.
- Chiropractor
- Escondido, CA
National Provider Identifier
1841513892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 31530
- Practice address
- 205 W 5TH Ave Ste 103
Escondido, CA 92025-4849 - Phone
- (760) 747-2780
- NPI assigned
- Mar 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 31530 | CA | Primary |
Addresses
Primary practice location
205 W 5TH Ave Ste 103
Escondido, CA 92025-4849
Mailing address
205 W 5TH Ave Ste 103
Escondido, CA 92025-4849
Phone (760) 747-2780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120717000350 | CA | Practitioner - Chiropractic | 4284890450 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31530 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1841513892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W 5TH AVE STE 103",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920254849",
"telephone_number": "760-747-2780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W 5TH AVE STE 103",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920254849",
"telephone_number": "760-747-2780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENSTROM",
"first_name": "JENNY",
"middle_name": "LYNN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-04",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Escondido, CA
- Russell W. Engevik, M.D.
- Nawen Engle
- Karol M Englebrecht
- Douglas Edward Engquist, OTR
- Enstrom Chiropractic Corporation (Back To Performance Chiropractic)
- Donnabel Erfe-Beltran, RN
- Eric Verret O.D., Inc (Escondido Eyecare)
- Judith N Erickson, PT
- Erika Albani a Medical Corporation Inc
- Chibuikem Erondu, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.