Active NPI
Jordan Teunissen, D.C.
- Chiropractor
- Sheboygan, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5221-12
- Practice address
- 2217 S Memorial PL
Sheboygan, WI 53081-3715 - Phone
- (920) 208-7000
- Fax
- (920) 600-0257
- NPI assigned
- Nov 2, 2016
- Sex
- Male
- Sole proprietor
- No
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 | 5221-12 | WI | Primary |
Addresses
Primary practice location
2217 S Memorial PL
Sheboygan, WI 53081-3715
Mailing address
2217 S Memorial PL
Sheboygan, WI 53081-3715
Phone (920) 208-7000
Other practice location 1
126 E Mill St
Plymouth, WI 53073-1704
Phone (920) 892-8920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265984611 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2217 S Memorial PL
Sheboygan, WI 53081-3715
Phone (920) 208-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5221-12 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Audiology & Hearing Center, LLC | Current | Accepting new patients | |
| Plymouth Chiropractic, SC | Chiropractor | Current | Accepting new patients |
| Sheboygan Chiro Plus LLC | Chiropractor | Current | Accepting new patients |
Locations
4818 S 76th St
Ste 12
Milwaukee, WI 53220
Phone (414) 281-8300
126 E Mill St
Plymouth, WI 53073
Phone (920) 892-8920
1028B Indiana Ave
Sheboygan, WI 53081
Phone (920) 208-7000
2217 S Memorial Pl
Sheboygan, WI 53081
Phone (920) 208-7000
Organizations & group practices 3
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
- Sheboygan, WI
- NPI 1710637731
-
- Audiologist
- Greenfield, WI
- NPI 1215350251
-
- Chiropractor
- Plymouth, WI
- NPI 1245363043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1265984611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2217 S MEMORIAL PL",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530813715",
"telephone_number": "920-208-7000",
"fax_number": "920-600-0257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2217 S MEMORIAL PL",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530813715",
"telephone_number": "920-208-7000",
"fax_number": "920-600-0257"
}
],
"practiceLocations": [
{
"address_1": "126 E Mill St",
"address_purpose": "LOCATION",
"city": "Plymouth",
"state": "WI",
"postal_code": "530731704",
"country_code": "US",
"telephone_number": "920-892-8920",
"fax_number": "920-600-0257",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEUNISSEN",
"first_name": "JORDAN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-02",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "5221-12",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265984611",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.