Peter J Jenema, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010209 Issued in MI

Practice address

625 2ND St
Traverse City, MI 49684-2220

Phone

(231) 922-5060

NPI assigned

Oct 1, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• PJJ PLC

  • Chiropractor
  • Kalkaska, MI
  • NPI 1477154466
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1144623406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1398 HOBBS HWY N",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496969310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 2ND ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842220",
            "telephone_number": "231-922-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENEMA",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason L. Mantey DDS PLLC
• Jay a Klein DO PLLC
• Jay H Jones MD PC
• Jeffrey K Shaw DC PLLC
• Christopher Carson Jeffries, M.D.
• Hannah Lynn Jenkins
• Elizabeth Jerichow
• Jessica Horness LLC
• Jill Dillon Nuffer, SLP, LLC
• Rayna Michele Jimenez

• Chiropractor in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.

Verify at the official NPI Registry.