Active NPI
Cheri L Jung, DC
- Chiropractor
- Ottawa, KS
National Provider Identifier
1043329295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-04290
- Practice address
- 1501 S Main St
Ottawa, KS 66067-3802 - Phone
- (785) 242-4100
- Fax
- (785) 242-4121
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 01-04290 | KS | Primary |
Addresses
Primary practice location
1501 S Main St
Ottawa, KS 66067-3802
Mailing address
1501 S Main St
Ottawa, KS 66067-3802
Phone (785) 242-4100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15736 | Other | KS | COVENTRY |
| 5888504 | Other | KS | AETNA |
| 014268 | Other | KS | BLUE CROSS BLUE SHIELD OF |
| 44-00193 | Other | KS | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1501 S Main St
Ottawa, KS 66067-3802
Phone (785) 242-4100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-04290 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ottawa Chiropractic Clinic PA | Chiropractor | Current | Accepting new patients |
Locations
1501 S Main St
Ottawa, KS 66067
Phone (785) 242-4100
Organizations & group practices 1
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
- Ottawa, KS
- NPI 1669550026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043329295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 S MAIN ST",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660673802",
"telephone_number": "785-242-4100",
"fax_number": "785-242-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S MAIN ST",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660673802",
"telephone_number": "785-242-4100",
"fax_number": "785-242-4121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "CHERI",
"middle_name": "L",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-04290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "15736",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5888504",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF",
"identifier": "014268",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "44-00193",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ottawa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.