Michael Gordon Jorgensen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06757 Issued in IA

Practice address

1110 Buckeye Avenue
Ames, IA 50010-8063

Phone

(515) 233-9087

Fax

(515) 233-6409

NPI assigned

Apr 26, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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

• Family Chiropractic and Solutions Integrative Wellness Inc

  • Chiropractor
  • Ames, IA
  • NPI 1538034962
  Medicare reassignment NPD Authorized official
• Jorgensen Chiropractic PC

  dba Family Chiropractic & Wellness

  • Chiropractor
  • Ames, IA
  • NPI 1922271816
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1306803267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 BUCKEYE AVENUE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108063",
            "telephone_number": "515-233-9087",
            "fax_number": "515-233-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 BUCKEYE AVENUE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108063",
            "telephone_number": "515-233-9087",
            "fax_number": "515-233-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "MICHAEL",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0451641",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA MEDICARE, GROUP",
            "identifier": "I14239",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0451658",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK PROVIDER #",
            "identifier": "37766",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Douglas Jons, M.D.
• Charlotte Rose Jordan
• Bradley J. Jordison, DO
• Emily J Jordison, ARNP
• Jorgensen Chiropractic PC (Family Chiropractic & Wellness)
• Joel Robert Jorgenson
• Melissa Joshel, LISW
• Natali Jouzi, RDN
• Joyful Mind Institute, LLC (Joyful Mind Psychiatry)
• Andrea Judkins

• Chiropractor in Ames, IA
• Providers in Ames, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.