Organization Active NPI

Jahna Chiropractic, LLC

  • Chiropractor
  • Lake Wales, FL
National Provider Identifier
1992120570
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10304 Issued in FL
Legal business name
JAHNA CHIROPRACTIC, LLC
Practice address
23857 Hwy 27
Lake Wales, FL 33859-7811
Phone
(863) 949-4815
Fax
(863) 949-4826
NPI assigned
Feb 19, 2014
Last updated
Mar 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Dr. David J Marinock Jr., D.CNPI 1013292309
Title
Owner
Phone
(863) 949-4815

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
Chiropractor 111N00000X CH10304 FL Primary

Addresses

Primary practice location

23857 Hwy 27
Lake Wales, FL 33859-7811

Mailing address

23857 Hwy 27
Lake Wales, FL 33859-7811
Phone (863) 949-4815

Other identifiers 1

IdentifierTypeStateIssuer
220EPOtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

23857 Hwy 27
Lake Wales, FL 33859
Phone (863) 678-1500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1992120570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23857 HWY 27",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338597811",
            "telephone_number": "863-949-4815",
            "fax_number": "863-949-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23857 HWY 27",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338597811",
            "telephone_number": "863-949-4815",
            "fax_number": "863-949-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAHNA CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "MARINOCK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-949-4815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "220EP",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wales, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.