SAN JOSE CHIROPRACTIC, LLC
NPI 1396136610
Chiropractor in Jacksonville, FL
About San Jose Chiropractic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN JOSE CHIROPRACTIC, LLC (NPI 1396136610) is a healthcare organization registered as a chiropractor in Jacksonville, Florida and active in the NPI registry since February 2015. The organization lists Thuraia Owais, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Jose Chiropractic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to San Jose Chiropractic, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is San Jose Chiropractic, LLC's NPI number?
The NPI number for San Jose Chiropractic, LLC is 1396136610. It was assigned to this organization in the NPPES registry on February 9, 2015.
Where is San Jose Chiropractic, LLC located?
San Jose Chiropractic, LLC is located at 2950 Halcyon Ln Ste 201, Jacksonville, FL 32223. The listed phone number is (904) 683-4476.
What is San Jose Chiropractic, LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is San Jose Chiropractic, LLC enrolled in Medicare?
Yes. San Jose Chiropractic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through San Jose Chiropractic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to San Jose Chiropractic, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for San Jose Chiropractic, LLC was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# San Jose Chiropractic, Llc · NPI 1396136610
Chiropractor organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since February 9, 2015.
## Identity
- **NPI:** 1396136610 (Entity type: Organization)
- **Enumerated:** February 9, 2015
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Thuraia Owais, OWNER
## Practice location
- **Address:** 2950 HALCYON LN STE 201, Jacksonville, FL 32223-6690
- **Phone:** (904) 683-4476 · **Fax:** (904) 458-8994
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1396136610) · Data from the CMS NPPES public registry.