Individual provider Active NPI

Jesse Adam Czajka, D.C.

  • Rehabilitation Chiropractor
  • Chapel Hill, NC
National Provider Identifier
1033479779
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
12058 Issued in TX
Practice address
201 S Estes Dr
Chapel Hill, NC 27514-7001
Phone
(419) 388-1253
NPI assigned
May 28, 2012
Last updated
May 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12058 TX
Rehabilitation Chiropractor 111NR0400X 12058 TX Primary

Addresses

Primary practice location

201 S Estes Dr
Chapel Hill, NC 27514-7001

Mailing address

8912 Blakeney Professional Dr
Suite 100
Charlotte, NC 28277-6734
Phone (704) 544-5353

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

LicenseStateTypeSpecialty
12058TXMDChiropractor
4425NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor J Wellness Brands PLLC Chiropractor Current Accepting new patients
Carolina Sports Chiropractic PLLC Chiropractor PastSince Nov 1, 2012 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1338163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1033479779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8912 BLAKENEY PROFESSIONAL DR",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776734",
            "telephone_number": "704-544-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ESTES DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147001",
            "telephone_number": "419-388-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZAJKA",
        "first_name": "JESSE",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-28",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12058",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "12058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.