Jennifer Jean Pedley, DC

Primary specialty

Radiology ChiropractorTaxonomy code 111NR0200X

License

31467 Issued in CA

Practice address

700 East Redlands Blvd
Ste U
Redlands, CA 92373-5541

Phone

(909) 353-9348

NPI assigned

Sep 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Jennifer Jean Pedley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1851586556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 FLORENCE RD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945505541",
            "telephone_number": "312-218-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 EAST REDLANDS BLVD",
            "address_2": "STE U",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735541",
            "telephone_number": "909-353-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDLEY",
        "first_name": "JENNIFER",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "IL",
            "license": "038010539",
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "OH",
            "license": "3977",
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "NY",
            "license": "010597",
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "CA",
            "license": "31467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PEDLEY",
            "middle_name": "JEAN",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Carrie Peasinger, NBC-HWC
• Brittany Pechinko
• Stefanie Angeline Pena Adrian
• Jeanette Pena, D.C.
• Erika Venedice Perera, PPS
• Isabel Perez Ferreruela, DDS
• Augustine Perez

• Radiology Chiropractor in Redlands, CA
• Providers in Redlands, CA by specialty
• Radiology Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.