Jensen Family Chiropractic DC PC
Organization Active NPI Chiropractor · Greenfield, IA
NPI 1154482487 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1154482487
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 06445 (IA)
- Legal business name
- JENSEN FAMILY CHIROPRACTIC DC PC
- Practice address
- 101 SW Jackson St
Greenfield, IA 50849-1356 - Phone
- (641) 743-2477
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Timothy John Jensen, D.C.
- Title
- Owner
- Phone
- (641) 743-2477
Practitioners 5
-
Timothy John Jensen, D.C.
-
Jody Marie Brink, D.C.
-
Nathan Luther Lester, D.C.
-
Lonnie Gale Katro, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040928001198 | IA | Part B Supplier - Clinic/Group Practice | 2860461639 |
Receives reassigned benefits from 1 practitioner Practice locations: Greenfield, IA |
National Provider Directory
Locations
101 SW Jackson St
Greenfield, IA 50849
Phone (515) 743-2477
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 06445 | IA | Yes |
Addresses
Primary practice location
101 SW Jackson St
Greenfield, IA 50849-1356
Mailing address
101 SW Jackson St
Greenfield, IA 50849-1356
Phone (641) 743-2477
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43684 | Other | IA | WELLMARK BC BS NUMBER |
Other names
- Jensen Family Chiropractic
Other providers in Greenfield, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.