Individual provider Active NPI

Jennifer N Londergan, DC

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1306986260
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003661 Issued in WA
Practice address
2705 NE 65TH St
Seattle, WA 98115-7129
Phone
(206) 523-9000
Fax
(206) 523-5566
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CMH00003661 WA
Chiropractor 111N00000X CH00003661 WA Primary

Addresses

Primary practice location

2705 NE 65TH St
Seattle, WA 98115-7129

Mailing address

2705 NE 65TH St
Seattle, WA 98115-7129
Phone (206) 523-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH00003661WAMDChiropractor
CMH00003661WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tacoma Chiropractic Center LLC Chiropractor PastSince Jul 24, 2022 Accepting new patients
Mindbody Medicine PC Chiropractor PastSince May 15, 2018 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1306986260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 NE 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981157129",
            "telephone_number": "206-523-9000",
            "fax_number": "206-523-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 NE 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981157129",
            "telephone_number": "206-523-9000",
            "fax_number": "206-523-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDERGAN",
        "first_name": "JENNIFER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CMH00003661",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.