Individual provider Active NPI

Jaclynn Rowenhorst, D.C

  • Chiropractor
  • Erie, CO
National Provider Identifier
1194105338
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4534 Issued in OH
Practice address
77 Erie Village SQ Unit 150
Erie, CO 80516-6995
Phone
(720) 600-4661
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4534 OH Primary

Addresses

Primary practice location

77 Erie Village SQ Unit 150
Erie, CO 80516-6995

Mailing address

77 Erie Village SQ Unit 150
Erie, CO 80516-6995
Phone (720) 600-4661

Other practice location 1

600 Viridian Dr Apt 219
Lafayette, CO 80026-7027
Phone (915) 667-8897

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160128000203 CO Practitioner - Chiropractic 8921312810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Rowenhorst Chiropractic LLCGroup PAC ID 4880997790, 2 clinicians

Practice addresses (Care Compare)

77 Erie Village SQ
Unit 150
Erie, CO 80516-6995
Phone (720) 600-4661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4534OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Rowenhorst Chiropractic LLC Chiropractor CurrentSince Aug 25, 2015 Accepting new patients
Matthew J. Lundeberg, Inc. Chiropractor Past Accepting new patients

Locations

77 Erie Village Sq
Unit 150
Erie, CO 80516
Phone (303) 828-2434

Organizations & group practices 2

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": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1194105338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 ERIE VILLAGE SQ UNIT 150",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805166995",
            "telephone_number": "720-600-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 ERIE VILLAGE SQ UNIT 150",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805166995",
            "telephone_number": "720-600-4661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Viridian Dr Apt 219",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800267027",
            "country_code": "US",
            "telephone_number": "915-667-8897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWENHORST",
        "first_name": "JACLYNN",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.