Jay J Meverden

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

1673 Issued in WI

Legal business name

JAY J MEVERDEN

Doing business as

Meverden Sports and Family Chiropractic

Practice address

2600 Stewart Ave Ste 154
Wausau, WI 54401-1404

Phone

(714) 848-4088

Fax

(715) 842-2497

NPI assigned

Jul 16, 2007

Last updated

Aug 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Germaine R Meverden

Title

Office Manager

Phone

(715) 848-4088

Specialties & licenses 1

Addresses

Other names 1

• Meverden Sports and Family Chiropractic Doing business as

Practitioners 1

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.

• Jay J Meverden, D.C.

  • Sports Physician Chiropractor
  • Wausau, WI
  • NPI 1205927951
  NPD (past)

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1114126570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 STEWART AVE STE 154",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544011404",
            "telephone_number": "714-848-4088",
            "fax_number": "715-842-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 STEWART AVE STE 154",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544011404",
            "telephone_number": "714-848-4088",
            "fax_number": "715-842-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY J MEVERDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "MEVERDEN",
        "authorized_official_first_name": "GERMAINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "715-848-4088",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WI",
            "license": "1673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meverden Sports and Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca L Janssen, LPC
• Susan Jane Janz
• Chelsea Jarvis, DC
• Rick A Jass, MA, LPC
• Ian Arthur Jasso, DO
• David D Jenkins, MD
• Gabrielle Marie Jensen, PMHNP
• Julie M Jensen
• Kaylee Jensen
• Cassie S Jentges

• Sports Physician Chiropractor in Wausau, WI
• Providers in Wausau, WI by specialty
• Sports Physician Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.