Andrew David Jepsen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH14972 Issued in FL

Practice address

3960 Radio Rd Ste 110
Naples, FL 34104-3741

Phone

(239) 465-0656

Fax

(239) 465-0656

NPI assigned

Oct 18, 2023

Last updated

Sep 5, 2024By the provider in NPPES

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 FL

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jepsen Chiropractic Wellness Center Inc.

  • Chiropractor
  • Naples, FL
  • NPI 1790510162
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1306628987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 RADIO RD STE 110",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341043741",
            "telephone_number": "239-465-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 RADIO RD STE 110",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341043741",
            "telephone_number": "239-465-0656",
            "fax_number": "239-465-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEPSEN",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-18",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Adams, PA (Adams Foot and Ankle)
• Jenny Zoler Dounchis, PH.D.
• Oivind E Jensen, D.D.S., M.S.
• Jepsen Chiropractic Wellness Center Inc.
• Adriana Jepsen, MD
• Jeremiah Holder, Inc. (Dental Digital Design)
• Christopher Thomas Jewell, P.A.C.
• Lauren Jewell
• Thomas Jewell, MD
• Ananthi Jeyabarath, MD

• Chiropractor in Naples, FL
• Providers in Naples, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.