Individual provider Active NPI

Jeff Durski, D.O.

  • Chiropractor
  • New Berlin, WI
National Provider Identifier
1205057312
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2366-012 Issued in WI
Practice address
14999 W. Beloit Road
Suite a
New Berlin, WI 53151
Phone
(414) 525-1030
Fax
(414) 525-1070
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2366-012 WI Primary

Addresses

Primary practice location

14999 W. Beloit Road
Suite a
New Berlin, WI 53151

Mailing address

14999 W Beloit Rd Ste a
New Berlin, WI 53151-7438
Phone (414) 525-1030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121002000726 WI Practitioner - Chiropractic 5092964338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14999 W Beloit Rd
Suite a
New Berlin, WI 53151-7438
Phone (414) 525-1030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2366-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Durski Chiropractic Chiropractor CurrentSince Sep 1, 2012 Accepting new patients

Locations

14999 W Beloit Rd
#A
New Berlin, WI 53151
Phone (414) 525-1030

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205057312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14999 W BELOIT RD STE A",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531517438",
            "telephone_number": "414-525-1030",
            "fax_number": "414-525-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14999 W. BELOIT ROAD",
            "address_2": "SUITE A",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "53151",
            "telephone_number": "414-525-1030",
            "fax_number": "414-525-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURSKI",
        "first_name": "JEFF",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2366-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Berlin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.