Dr.Jesus Chiropractic LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

DR.JESUS CHIROPRACTIC LLC

Practice address

6216 Sauterne Dr
Jacksonville, FL 32210-7729

Phone

(904) 999-9910

NPI assigned

Oct 25, 2022

Organization subpart

No

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

Authorized official

Name

Luis Jesus Rodriguez, DCNPI 1477188191

Title

Manager

Phone

(787) 564-0897

Specialties & licenses 3

Addresses

Other names 1

• Reborn Rehabilitation Doing business as

Electronic endpoints 1

Practitioners 1

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

• Luis Jesus Rodriguez X, DC

  • Chiropractor
  • Plantation, FL
  • NPI 1477188191
  NPD Authorized official

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1891412326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7785 POINT VICENTE CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567733",
            "telephone_number": "787-564-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 SAUTERNE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107729",
            "telephone_number": "904-999-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.JESUS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LUIS JESUS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-564-0897",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drjesus@reborrehabilitation.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6216 Sauterne Dr",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322107729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Reborn Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rehabilitation Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Rehabilitation Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.