Active NPI
Jill Mork, D.C.
- Chiropractor
- Middleton, WI
National Provider Identifier
1376985010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4945-12
- Practice address
- 8333 Greenway Blvd
Suite 140
Middleton, WI 53562-3684 - Phone
- (608) 836-8080
- Fax
- (608) 836-8010
- NPI assigned
- Jul 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 4945-12 | WI | Primary |
Addresses
Primary practice location
8333 Greenway Blvd
Suite 140
Middleton, WI 53562-3684
Mailing address
8333 Greenway Blvd
Suite 140
Middleton, WI 53562-3684
Phone (608) 836-8080
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4945-12 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384214400000",
"number": "1376985010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8333 GREENWAY BLVD",
"address_2": "SUITE 140",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535623684",
"telephone_number": "608-836-8080",
"fax_number": "608-836-8010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8333 GREENWAY BLVD",
"address_2": "SUITE 140",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535623684",
"telephone_number": "608-836-8080",
"fax_number": "608-836-8010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORK",
"first_name": "JILL",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-23",
"last_updated": "2013-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4945-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.