Jeffrey C.Swink Chiropracitic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC24003 Issued in CA

Legal business name

JEFFREY C.SWINK CHIROPRACITIC INC.

Practice address

31508 Railroad Canyon Rd
Canyon Lake, CA 92587-9413

Phone

(951) 764-9054

NPI assigned

Jan 18, 2008

Last updated

Jan 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Swink, D.C.

Title

President

Phone

(951) 764-9054

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1861678955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30191 WHITE WAKE DR",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925877493",
            "telephone_number": "951-764-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31508 RAILROAD CANYON RD",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925879413",
            "telephone_number": "951-764-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY C.SWINK CHIROPRACITIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "SWINK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-764-9054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Ritchey Higgason
• Steven D Holmstrom, O.D.
• Hope's Chest Co. (Hope's Chest)
• J.C. Swink Chiropractic Inc.
• JDC Provider, Inc (Caregiver Provider)
• Gail Dolores Jerideau-Pratt, R.N.
• Karen Leilani John
• Corey Johnson, PMHNP
• Cheryl Lee Johnston, D.M.D.
• Darrah Kay Jones

• Chiropractor in Canyon Lake, CA
• Providers in Canyon Lake, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.