Active NPI
Jaworski Chiropractic LLC
- Clinic/Center
- Antigo, WI
National Provider Identifier
1073996468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 4503-12
- 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 LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lindsy D Jaworski, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4503-12 | Other | WI | WI LICENSE |
Other names 2
- Goldsworthy Chiropractic
- Joint & Spine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
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.
-
- Chiropractor
- Antigo, WI
- NPI 1437380649
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.