Individual provider Active NPI

Janet L Jeranek-Delgreco, D.C.

  • Chiropractor
  • Kenosha, WI
National Provider Identifier
1184786956
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3181-012 Issued in WI
Practice address
7505 41St Ave
Kenosha, WI 53142-4368
Phone
(262) 694-7833
Fax
(262) 694-7907
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3181-012 WI Primary

Addresses

Primary practice location

7505 41St Ave
Kenosha, WI 53142-4368

Mailing address

7505 41St Ave
Kenosha, WI 53142-4368
Phone (262) 694-7833

Other identifiers 1

IdentifierTypeStateIssuer
38886500MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100106000011 WI Practitioner - Chiropractic 6709927270 Reassigns benefits to 1 organization
Practice locations: Kenosha, WI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7505 41St Ave
Kenosha, WI 53142-4368
Phone (262) 694-7833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3181-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jeranek Family Chiropractic, LLC Chiropractor CurrentSince Oct 27, 2022 Accepting new patients

Locations

7505 41st Ave
Kenosha, WI 53142
Phone (262) 694-7833

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1184786956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 41ST AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531424368",
            "telephone_number": "262-694-7833",
            "fax_number": "262-694-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 41ST AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531424368",
            "telephone_number": "262-694-7833",
            "fax_number": "262-694-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERANEK-DELGRECO",
        "first_name": "JANET",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3181-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38886500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.