Organization Active NPI

Jones Chiropractic Office LLC

  • Chiropractor
  • Randolph, WI
National Provider Identifier
1225804784
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JONES CHIROPRACTIC OFFICE LLC
Practice address
175 Stark St
Randolph, WI 53956-1243
Phone
(920) 326-6336
Fax
(920) 326-6444
NPI assigned
Nov 27, 2023
Last updated
Dec 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Authorized official

Name
Dr. James L Jones, DCNPI 1003959529
Title
Owner
Phone
(920) 326-6336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

175 Stark St
Randolph, WI 53956-1243

Mailing address

175 Stark St
Randolph, WI 53956-1243
Phone (920) 326-6336

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240227002847 WI Part B Supplier - Clinic/Group Practice 7113362377 Receives reassigned benefits from 1 practitioner
Practice locations: Randolph, WI

National Provider Directory

National Provider Directory

Locations

175 Stark St
Randolph, WI 53956
Phone (414) 326-6336

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1225804784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 STARK ST",
            "city": "RANDOLPH",
            "state": "WI",
            "postal_code": "539561243",
            "telephone_number": "920-326-6336",
            "fax_number": "920-326-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 STARK ST",
            "city": "RANDOLPH",
            "state": "WI",
            "postal_code": "539561243",
            "telephone_number": "920-326-6336",
            "fax_number": "920-326-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES CHIROPRACTIC OFFICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-326-6336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.