Individual provider Active NPI

Richard Allen Jorandby, D.C.

  • Chiropractor
  • Reedsburg, WI
National Provider Identifier
1316096662
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2309 Issued in WI
Practice address
149 N Park St
Reedsburg, WI 53959-1651
Phone
(608) 524-2213
Fax
(608) 524-2213
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2309 WI Primary

Addresses

Primary practice location

149 N Park St
Reedsburg, WI 53959-1651

Mailing address

149 N Park St
Reedsburg, WI 53959-1651
Phone (608) 524-2213

Other identifiers 1

IdentifierTypeStateIssuer
38835400MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071106000255 WI Practitioner - Chiropractic 0547357063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Jorandby Chiropractic Office SCGroup PAC ID 4284721705, 2 clinicians

Practice addresses (Care Compare)

149 N Park St
Reedsburg, WI 53959-1651
Phone (608) 524-2213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2309WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jorandby Chiropractic Office, S.C. Chiropractor CurrentSince Apr 1, 1988 Accepting new patients

Locations

149 N Park St
Reedsburg, WI 53959
Phone (608) 524-2213

Organizations & group practices 1

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1316096662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 N PARK ST",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591651",
            "telephone_number": "608-524-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 N PARK ST",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591651",
            "telephone_number": "608-524-2213",
            "fax_number": "608-524-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORANDBY",
        "first_name": "RICHARD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38835400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.