Organization Active NPI

Jenkins Chiropractic and Wellness Center

  • Chiropractor
  • Cedar Rapids, IA
National Provider Identifier
1891233185
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007325 Issued in IA
Legal business name
JENKINS CHIROPRACTIC AND WELLNESS CENTER
Practice address
1520 Midland CT NE Ste 100
Cedar Rapids, IA 52402-8404
Phone
(319) 531-8800
Fax
(866) 249-7405
NPI assigned
Feb 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Authorized official

Name
Dr. Logan Jack Jenkins, D.C.NPI 1427363779
Title
Owner
Phone
(319) 393-4303

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 SINGLE SPECIALTY GROUP 111N00000X 007325 IA Primary

Addresses

Primary practice location

1520 Midland CT NE Ste 100
Cedar Rapids, IA 52402-8404

Mailing address

1520 Midland CT NE Ste 100
Cedar Rapids, IA 52402-8404
Phone (319) 531-8800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171213000232 IA Part B Supplier - Clinic/Group Practice 8628336054 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Rapids, IA

National Provider Directory

National Provider Directory

Locations

1146 Blairs Ferry Rd NE
Ste 5
Cedar Rapids, IA 52402
Phone (319) 393-4303

1520 Midland Ct NE
Ste 100
Cedar Rapids, IA 52402
Phone (319) 362-3601

Practitioners & affiliated clinicians

Practitioners 1

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": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1891233185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 MIDLAND CT NE STE 100",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524028404",
            "telephone_number": "319-531-8800",
            "fax_number": "866-249-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 MIDLAND CT NE STE 100",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524028404",
            "telephone_number": "319-531-8800",
            "fax_number": "866-249-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENKINS CHIROPRACTIC AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-393-4303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.