Organization Active NPI

Jaworski Chiropractic LLC

  • Clinic/Center
  • Antigo, WI
National Provider Identifier
1073996468
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4503-12 Issued in WI
Legal business name
JAWORSKI CHIROPRACTIC LLC
Doing business as
Goldsworthy Chiropractic
Joint & Spine
Practice address
2327 Neva Rd
Antigo, WI 54409-2912
Phone
(715) 623-2123
Fax
(715) 623-6556
NPI assigned
Jul 2, 2015
Organization subpart
Yes
Parent organization
JAWORSKI CHIROPRACTIC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Authorized official

Name
Lindsy D Jaworski, DCNPI 1437380649
Title
Owner
Phone
(715) 623-2123

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4503-12 WI Primary

Addresses

Primary practice location

2327 Neva Rd
Antigo, WI 54409-2912

Mailing address

2327 Neva Rd
Antigo, WI 54409-2912
Phone (715) 623-2123

Other practice location 1

941 Century Ave
Antigo, WI 54409-2484
Phone (715) 623-7141

Other identifiers 1

IdentifierTypeStateIssuer
4503-12OtherWIWI LICENSE

Other names 2

  • Goldsworthy Chiropractic Doing business as
  • Joint & Spine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151012002310 WI Part B Supplier - Clinic/Group Practice 0042529182 Receives reassigned benefits from 1 practitioner
Practice locations: Antigo, WI

National Provider Directory

National Provider Directory
Part of
Jaworski Chiropractic LLC

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": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1073996468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 NEVA RD",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092912",
            "telephone_number": "715-623-2123",
            "fax_number": "715-623-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 NEVA RD",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092912",
            "telephone_number": "715-623-2123",
            "fax_number": "715-623-6556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "941 Century Ave",
            "address_purpose": "LOCATION",
            "city": "Antigo",
            "state": "WI",
            "postal_code": "544092484",
            "country_code": "US",
            "telephone_number": "715-623-7141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAWORSKI CHIROPRACTIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAWORSKI CHIROPRACTIC LLC",
        "enumeration_date": "2015-07-02",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "JAWORSKI",
        "authorized_official_first_name": "LINDSY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-623-2123",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "4503-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI LICENSE",
            "identifier": "4503-12",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goldsworthy Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Joint & Spine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Joint & Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antigo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.