Individual provider Active NPI

Jason James Rosenbush, D.C.

  • Chiropractor
  • Winona, MN
National Provider Identifier
1205908571
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4455 Issued in MN
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

Updated by the provider on May 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
272M1R0OtherBCBS OF MN
500055600MedicaidMN

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

LicenseStateTypeSpecialty
4455MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
PLCC, LTD Chiropractor PastSince Feb 15, 2016 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.

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.

Verify at the official NPI Registry.