NPIMap

Organization Active NPI

Juergens Chiropractic , LLC

  • Chiropractor
  • Tumwater, WA
National Provider Identifier
1053653238
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034772 Issued in WA
Legal business name
JUERGENS CHIROPRACTIC , LLC
Doing business as
Chris Juergens DC
Practice address
100 Ruby St SE Ste F
Tumwater, WA 98501
Phone
(360) 943-4797
Fax
(360) 709-0542
NPI assigned
Mar 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Authorized official

Name
Dr. Christopher Juergens, DCNPI 1538366331
Title
Chiropractor/Owner
Phone
(360) 943-4797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00034772 WA Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

100 Ruby St SE Ste F
Tumwater, WA 98501

Mailing address

100 Ruby St SE Ste F
Tumwater, WA 98501-6724
Phone (360) 943-4797

Other names 1

  • Chris Juergens DC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130605000532 WA Part B Supplier - Clinic/Group Practice 4284872193 Receives reassigned benefits from 1 practitioner
Practice locations: Tumwater, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1053653238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RUBY ST SE STE F",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985016724",
            "telephone_number": "360-943-4797",
            "fax_number": "360-709-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RUBY ST SE STE F",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "98501",
            "telephone_number": "360-943-4797",
            "fax_number": "360-709-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUERGENS CHIROPRACTIC , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "JUERGENS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "360-943-4797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034772",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chris Juergens DC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chris Juergens DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.