Individual provider Active NPI

Madison Jumper, DC

  • Chiropractor
  • West Bend, WI
National Provider Identifier
1164239596
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6263-12 Issued in WI
Practice address
235 N 18TH Ave
West Bend, WI 53095-3059
Phone
(262) 334-4070
NPI assigned
Dec 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6263-12 WI Primary

Addresses

Primary practice location

235 N 18TH Ave
West Bend, WI 53095-3059

Mailing address

235 N 18TH Ave
West Bend, WI 53095-3059
Phone (262) 334-4070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6263-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
River Shores Chiropractic SC Chiropractor CurrentSince Dec 19, 2024 Accepting new patients

Locations

235 N 18th Ave
West Bend, WI 53095
Phone (262) 334-0374

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": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1164239596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N 18TH AVE",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953059",
            "telephone_number": "262-334-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N 18TH AVE",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953059",
            "telephone_number": "262-334-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUMPER",
        "first_name": "MADISON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6263-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.