John E Church, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1444012 Issued in WI

Practice address

1515 Mount Zion Ave
Janesville, WI 53545-1111

Phone

(608) 754-6111

Fax

(608) 743-2537

NPI assigned

Dec 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Church Chiropractic Clinic, LLC

  • Health Service Clinic/Center
  • Janesville, WI
  • NPI 1013175314

  Chiropractor

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1023095064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 MOUNT ZION AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535451111",
            "telephone_number": "608-754-6111",
            "fax_number": "608-743-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MOUNT ZION AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535451111",
            "telephone_number": "608-754-6111",
            "fax_number": "608-743-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1444012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38755700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inyoung Cho
• Darcy Christiansen, PTA
• Selena Christiansen, PMHNP, APNP
• Jeffrey E Christianson, O.D.
• Church Chiropractic Clinic, LLC
• Paula Jo Ciebell, LPN
• Kathleen Jean Cikar, R.N
• Amanda L Ciske, CRNA
• Terry D Cisler, DDS
• Kamela D. Cisneros

• Chiropractor in Janesville, WI
• Providers in Janesville, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.