Individual provider Active NPI

Jay Jeffrey Romant, DC

  • Chiropractor
  • Wauwatosa, WI
National Provider Identifier
1366496093
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4100-012 Issued in WI
Practice address
2900 N 117TH St
Wauwatosa, WI 53222-4106
Phone
(414) 774-6757
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4100-012 WI Primary

Addresses

Primary practice location

2900 N 117TH St
Wauwatosa, WI 53222-4106

Mailing address

2900 N 117TH St
Wauwatosa, WI 53222-4106
Phone (414) 774-6757

Other identifiers 1

IdentifierTypeStateIssuer
38960300MedicaidWI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4100-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Barr Chiropractic Inc Chiropractor PastSince Dec 31, 2015 Accepting new patients
Allied Health of Wisconsin, SC Chiropractor PastSince Nov 30, 2007 Accepting new patients
Scott D. Bautch D C S C Chiropractor PastSince Dec 31, 2015 Accepting new patients
Romant Chiropractic and Wellness, LLC Chiropractor PastSince May 8, 2006 Accepting new patients

Organizations & group practices 4

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1366496093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N 117TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224106",
            "telephone_number": "414-774-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N 117TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224106",
            "telephone_number": "414-774-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANT",
        "first_name": "JAY",
        "middle_name": "JEFFREY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4100-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38960300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.