Active NPI
Jason James Rosenbush, D.C.
- Chiropractor
- Winona, MN
National Provider Identifier
1205908571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4455
- Practice address
- 1201 Gilmore Avenue
Suite F-5B
Winona, MN 55987 - Phone
- (507) 452-4417
- Fax
- (507) 452-4417
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4455 | MN | Primary |
Addresses
Primary practice location
1201 Gilmore Avenue
Suite F-5B
Winona, MN 55987
Mailing address
1201 Gilmore Ave
Suite F-5B
Winona, MN 55987-2424
Phone (507) 452-4417
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272M1R0 | Other | BCBS OF MN | |
| 500055600 | Medicaid | MN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4455 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PLCC, LTD | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Savage, MN
- NPI 1780753475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368748800000",
"number": "1205908571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 GILMORE AVE",
"address_2": "SUITE F-5B",
"city": "WINONA",
"state": "MN",
"postal_code": "559872424",
"telephone_number": "507-452-4417",
"fax_number": "507-452-4417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 GILMORE AVENUE",
"address_2": "SUITE F-5B",
"city": "WINONA",
"state": "MN",
"postal_code": "55987",
"telephone_number": "507-452-4417",
"fax_number": "507-452-4417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBUSH",
"first_name": "JASON",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2013-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4455",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN",
"identifier": "272M1R0",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500055600",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winona, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.