Active NPI
Constance M. Jerz, DC
- Chiropractor
- Wasilla, AK
National Provider Identifier
1356572911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- ALASKA#497
- Practice address
- 1001 E. Bogard Rd.
Wasilla, AK 99654 - Phone
- (907) 376-2225
- Fax
- (907) 376-9225
- NPI assigned
- Jul 30, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | ALASKA#497 | AK | Primary |
Addresses
Primary practice location
1001 E. Bogard Rd.
Wasilla, AK 99654
Mailing address
1001 E. Bogard Rd.
Wasilla, AK 99654
Phone (907) 376-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2011 Abbott Rd
Suite C
Anchorage, AK 99507-3422
Phone (907) 205-9642
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ALASKA#497 | AK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Constance Jerz LLC | Current | Accepting new patients | |
| The Center for Oral & Maxillofacial Surgery | Past | Accepting new patients |
Locations
2011 Abbott Rd
Ste C
Anchorage, AK 99507
Phone (303) 995-1622
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.
-
- Health Service Clinic/Center
- Anchorage, AK
- NPI 1255155180
-
- Oral and Maxillofacial Surgery (Dentist)
- Bellevue, WA
- NPI 1992183594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248912000000",
"number": "1356572911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E. BOGARD RD.",
"city": "WASILLA",
"state": "AK",
"postal_code": "99654",
"telephone_number": "907-376-2225",
"fax_number": "907-376-9225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E. BOGARD RD.",
"city": "WASILLA",
"state": "AK",
"postal_code": "99654",
"telephone_number": "907-376-2225",
"fax_number": "907-376-9225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERZ",
"first_name": "CONSTANCE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-30",
"last_updated": "2009-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AK",
"license": "ALASKA#497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.