Individual provider Active NPI

Jason S Denn, DC

  • Chiropractor
  • Chippewa Falls, WI
National Provider Identifier
1174636369
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3926012 Issued in WI
Practice address
4751 Cty Hwy J
Chippewa Falls, WI 54729
Phone
(715) 723-2713
Fax
(715) 723-1176
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3926012 WI Primary

Addresses

Primary practice location

4751 Cty Hwy J
Chippewa Falls, WI 54729

Mailing address

4751 Cty Hwy J
Chippewa Falls, WI 54729
Phone (715) 723-2713

Other identifiers 1

IdentifierTypeStateIssuer
38944600MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820000511 WI Practitioner - Chiropractic 6305970781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

475 Chippewa Mall Dr
Chippewa Falls, WI 54729-9400
Phone (715) 726-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3926012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Denn Chiropractic LLC CurrentSince Sep 1, 2010 Accepting new patients
Chippewa Falls Chiropractic, S.C. Chiropractor Past Accepting new patients
Consiglio Clinics Chiropractor PastSince Nov 1, 2016 Accepting new patients
Ribley Chiropractic Clinic PC Chiropractor Past Accepting new patients

Locations

475 Chippewa Mall Dr
Ste 155
Chippewa Fls, WI 54729
Phone (715) 726-0400

Organizations & group practices 4

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1174636369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4751 CTY HWY J",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "54729",
            "telephone_number": "715-723-2713",
            "fax_number": "715-723-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 CTY HWY J",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "54729",
            "telephone_number": "715-723-2713",
            "fax_number": "715-723-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENN",
        "first_name": "JASON",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3926012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38944600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.