Active NPI
Jamie Chang, D.C.
- Chiropractor
- San Jose, CA
National Provider Identifier
1992849970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC25202
- Practice address
- 1712 Berryessa Rd
Suite 15
San Jose, CA 95133-1067 - Phone
- (408) 937-8988
- Fax
- (408) 937-8222
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC25202 | CA | Primary |
Addresses
Primary practice location
1712 Berryessa Rd
Suite 15
San Jose, CA 95133-1067
Mailing address
1712 Berryessa Road
Suite 15
San Jose, CA 95133
UM
Phone (408) 937-8988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC25202 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Care | Chiropractor | Past | Accepting new patients |
| Jamie Chang, D.C. Chiropractic Corporation | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- San Jose, CA
- NPI 1265657829
-
- Chiropractor
- San Jose, CA
- NPI 1245457563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330646400000",
"number": "1992849970",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "1712 BERRYESSA ROAD",
"address_2": "SUITE 15",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95133",
"telephone_number": "408-937-8988",
"fax_number": "408-937-8988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 BERRYESSA RD",
"address_2": "SUITE 15",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951331067",
"telephone_number": "408-937-8988",
"fax_number": "408-937-8222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "JAMIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2012-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC25202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.