Jens F Birkholm D P M Inc

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

E1444 Issued in CA

Legal business name

JENS F BIRKHOLM D P M INC

Practice address

821 E Chapel St Ste 101
Santa Maria, CA 93454-4618

Phone

(805) 925-8703

Fax

(805) 349-8315

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jens F,J. Birkholm, D.P.M.

Title

Owner

Phone

(805) 925-8703

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1972711273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 E CHAPEL ST STE 101",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544618",
            "telephone_number": "805-925-8703",
            "fax_number": "805-349-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 E CHAPEL ST STE 101",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544618",
            "telephone_number": "805-925-8703",
            "fax_number": "805-349-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENS F BIRKHOLM D P M INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "BIRKHOLM",
        "authorized_official_first_name": "JENS",
        "authorized_official_middle_name": "F,J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-925-8703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E1444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E14440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kay Jeffers, C.A.A.D.E.
• Jeff Robert Jeffery, CATC
• Jeffrey Kaplan, M.D. Pediatric Medicine, Inc
• Ashley Marie Jenkins
• Sidney Lauren Jenks
• Brent Jensen, DPT
• Brian Thomas Jensen, M.D.
• Chelsea Jensen
• Jody Michelle Jensen, PA-C
• Julie Ann Jensen

• Foot Surgery Podiatrist in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Foot Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.