Organization Active NPI

Jorgensen Chiropractic Care LLC

  • Chiropractor
  • North Platte, NE
National Provider Identifier
1336385947
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
639 Issued in NE
Legal business name
JORGENSEN CHIROPRACTIC CARE LLC
Practice address
110 S Sherman Ave
North Platte, NE 69101-4913
Phone
(308) 534-1870
Fax
(308) 534-1871
NPI assigned
Jan 2, 2009
Last updated
May 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Dr. Jered Anthony Jorgensen, D.C.NPI 1366689119
Title
Chiropractor
Phone
(308) 534-1870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 639 NE Primary

Addresses

Primary practice location

110 S Sherman Ave
North Platte, NE 69101-4913

Mailing address

110 S Sherman Ave
North Platte, NE 69101-4913
Phone (308) 534-1870

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090128000336 NE Part B Supplier - Clinic/Group Practice 9335203835 Receives reassigned benefits from 2 practitioners
Practice locations: North Platte, NE; Sutherland, NE

National Provider Directory

National Provider Directory

Locations

110 S Sherman Ave
North Platte, NE 69101
Phone (308) 534-1870

333 Maple St
#105
Sutherland, NE 69165
Phone (308) 386-4799

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1336385947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S SHERMAN AVE",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691014913",
            "telephone_number": "308-534-1870",
            "fax_number": "308-534-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S SHERMAN AVE",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691014913",
            "telephone_number": "308-534-1870",
            "fax_number": "308-534-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGENSEN CHIROPRACTIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN",
        "authorized_official_first_name": "JERED",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "308-534-1870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.