Organization Active NPI

Denn Chiropractic LLC

  • Health Service Clinic/Center
  • Chippewa Falls, WI
National Provider Identifier
1346555109
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
3926-012 Issued in WI
Legal business name
DENN CHIROPRACTIC LLC
Practice address
4753 County Highway J
Chippewa Falls, WI 54729-3387
Phone
(715) 726-0400
Fax
(715) 726-0422
NPI assigned
Aug 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Authorized official

Name
Dr. Jason Scott Denn, DCNPI 1174636369
Title
Chiropractor
Phone
(715) 726-0400

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
Health Service Clinic/Center 261QH0100X 3926-012 WI Primary

Addresses

Primary practice location

4753 County Highway J
Chippewa Falls, WI 54729-3387

Mailing address

4753 County Highway J
Chippewa Falls, WI 54729-3387
Phone (715) 726-0400

Other identifiers 1

IdentifierTypeStateIssuer
38944600MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101217000272 WI Part B Supplier - Clinic/Group Practice 5193913127 Receives reassigned benefits from 1 practitioner
Practice locations: Chippewa Falls, WI

National Provider Directory

National Provider Directory

Locations

475 Chippewa Mall Dr
Ste 155
Chippewa Fls, WI 54729
Phone (715) 726-0400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1346555109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4753 COUNTY HIGHWAY J",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293387",
            "telephone_number": "715-726-0400",
            "fax_number": "715-726-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4753 COUNTY HIGHWAY J",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293387",
            "telephone_number": "715-726-0400",
            "fax_number": "715-726-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "DENN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "715-726-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WI",
            "license": "3926-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38944600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.