Organization Active NPI

JPM Chiropractic LLC

  • Chiropractor
  • Black Earth, WI
National Provider Identifier
1003058710
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2509 Issued in WI
Legal business name
JPM CHIROPRACTIC LLC
Practice address
9749 Kahl Rd
Black Earth, WI 53515-9516
Phone
(608) 767-2226
Fax
(608) 767-3226
NPI assigned
Mar 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Authorized official

Name
Dr. John P Murphy, DC
Title
Chiropractor Owner
Phone
(608) 767-2226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2509 WI Primary

Addresses

Primary practice location

9749 Kahl Rd
Black Earth, WI 53515-9516

Mailing address

PO Box 364
Black Earth, WI 53515-0364
Phone (608) 767-2226

Other identifiers 2

IdentifierTypeStateIssuer
38938200MedicaidWI
1164597209OtherWINPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1003058710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364",
            "city": "BLACK EARTH",
            "state": "WI",
            "postal_code": "535150364",
            "telephone_number": "608-767-2226",
            "fax_number": "608-767-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9749 KAHL RD",
            "city": "BLACK EARTH",
            "state": "WI",
            "postal_code": "535159516",
            "telephone_number": "608-767-2226",
            "fax_number": "608-767-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPM CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-26",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "608-767-2226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38938200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164597209",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Earth, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.