Charlotte Jensen LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

03419 Issued in MD

Legal business name

CHARLOTTE JENSEN LLC

Doing business as

C2M Chiropractic

Practice address

6223 Executive Blvd
Rockville, MD 20852-3906

Phone

(301) 770-4003

Fax

(301) 770-4177

NPI assigned

Sep 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Charlotte W Jensen, D.C.NPI 1821184094

Title

Owner

Phone

(301) 770-4003

Specialties & licenses 1

Addresses

Other names 1

• C2M Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

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

• Charlotte Weinreich Jensen, D.C.

  • Chiropractor
  • Rockville, MD
  • NPI 1821184094

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1891121216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6223 EXECUTIVE BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523906",
            "telephone_number": "301-770-4003",
            "fax_number": "301-770-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6223 EXECUTIVE BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523906",
            "telephone_number": "301-770-4003",
            "fax_number": "301-770-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE JENSEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-770-4003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C2M Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elijah Charles
• Kayla Charles
• Lysa Charles, MD
• Tia Charles
• Tarina Charleston
• Dakari Charlton
• Lisa Charneski, PHARM.D.
• Aaron Charniak, MD
• Satyam V Chary, M.D.
• Dejanira Chase

• Chiropractor in Rockville, MD
• Providers in Rockville, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.