Active NPI
Jonathon Michael Pinnow, D.C.
- Chiropractor
- Sun Prairie, WI
National Provider Identifier
1124460183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4941-12
- Practice address
- 3120 Edmonton Dr
Ste 100
Sun Prairie, WI 53590-4593 - Phone
- (608) 318-5300
- Fax
- (608) 318-5353
- NPI assigned
- Jul 18, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4941-12 | WI | Primary |
Addresses
Primary practice location
3120 Edmonton Dr
Ste 100
Sun Prairie, WI 53590-4593
Mailing address
3120 Edmonton Dr
Ste 100
Sun Prairie, WI 53590-4593
Phone (608) 318-5300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140310000681 | WI | Practitioner - Chiropractic | 1052541240 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Noble Choice Chiropractic LLC
Practice addresses (Care Compare)
3120 Edmonton Dr
Suite 100
Sun Prairie, WI 53590-4593
Phone (608) 318-5300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559260800000",
"number": "1124460183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3120 EDMONTON DR",
"address_2": "STE 100",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535904593",
"telephone_number": "608-318-5300",
"fax_number": "608-318-5353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 EDMONTON DR",
"address_2": "STE 100",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535904593",
"telephone_number": "608-318-5300",
"fax_number": "608-318-5353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINNOW",
"first_name": "JONATHON",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-18",
"last_updated": "2019-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4941-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun Prairie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.