Jason Macrae Jorgensen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7074 Issued in MN

Practice address

7920 Mitchell Rd
Eden Prairie, MN 55344-2218

Phone

(952) 345-6110

NPI assigned

Feb 6, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sundial Chiropractic P.L.L.C.

  • Chiropractor
  • Minnetonka, MN
  • NPI 1598530891
  Medicare reassignment NPD Authorized official
• Suppes Enterprises, Inc.

  • Chiropractor
  • Minnetonka, MN
  • NPI 1457690703
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1225734684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18068 EVENER WAY",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553464270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 MITCHELL RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442218",
            "telephone_number": "952-345-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "JASON",
        "middle_name": "MACRAE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory Jon Jones
• Kendall M Jones, MD
• Larry Keith Jordan, M.D.
• Roberta Marie Jordan, CNM, FNP
• Taylor R Jordan, M.D.
• Rebecca A Jorgenson, DPT
• Kristen Willis Joseph, NP-C
• Carli Jean Jost, PT, DPT
• Journey of the Heart, Inc.
• Mario James Juliano, MD

• Chiropractor in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.