Jessen Family Chiropractic Clinic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JESSEN FAMILY CHIROPRACTIC CLINIC INC

Practice address

438 N Water St
Black River Falls, WI 54615-1005

Phone

(715) 284-5551

Fax

(715) 284-9164

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

James D Jessen, DCNPI 1851636716

Title

Owner

Phone

(715) 284-5551

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jordan Chiropractic Clinic Former legal business name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James D Jessen, D.C.

  • Chiropractor
  • Spring Lake Park, MN
  • NPI 1851636716

  WI

  Medicare reassignment Care Compare group NPD Authorized official
• John M Jordan, DC

  • Chiropractor
  • Black River Falls, WI
  • NPI 1871638718
  Medicare reassignment Care Compare group NPD
• Jon P Stowe, DC

  • Chiropractor
  • Black River Falls, WI
  • NPI 1568507465
  Medicare reassignment Care Compare group NPD
• Daniel Joseph Eoriatti, D.C.

  • Chiropractor
  • Black River Falls, WI
  • NPI 1386789246
  NPD (past)
• Marie L Jordan, DC

  • Chiropractor
  • Black River Falls, WI
  • NPI 1811032733
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1114099462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 N WATER ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151005",
            "telephone_number": "715-284-5551",
            "fax_number": "715-284-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 N WATER ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151005",
            "telephone_number": "715-284-5551",
            "fax_number": "715-284-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSEN FAMILY CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "JESSEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-284-5551",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38992500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan Chiropractic Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ashley Virginia Ann Jakel, MSW, LCSW, SAC-IT
• Carol Ann Jarrett
• Jessica Elizabeth Jennings, R.D.
• Kelli Marie Jerdet Engen, RN, BSN
• Heather Jerzak, RD, CD
• Elizabeth Johnson, RN, BSN, LSN
• Lisa Dawn Johnson
• Mary Jane Jones, RPH
• John M Jordan, DC
• Marie L Jordan, DC

• Chiropractor in Black River Falls, WI
• Providers in Black River Falls, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.