Chiropractic and Sports Injury Center of Jackson Hole PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

569 Issued in WY

Legal business name

CHIROPRACTIC AND SPORTS INJURY CENTER OF JACKSON HOLE PC

Practice address

215 Scott Lane
Jackson, WY 83001

Phone

(307) 733-8088

Fax

(307) 734-8584

NPI assigned

Dec 4, 2006

Last updated

Aug 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John William Zendler, DCNPI 1932329083

Title

Owner President

Phone

(307) 733-8088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

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.

• John William Zendler, DC

  • Chiropractor
  • Jackson, WY
  • NPI 1932329083
  Medicare reassignment NPD Authorized official
• Margery Sue Kearns, D.C.

  • Chiropractor
  • Putney, VT
  • NPI 1144596107
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1386712545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10039",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830020039",
            "telephone_number": "307-733-8088",
            "fax_number": "307-734-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SCOTT LANE",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83001",
            "telephone_number": "307-733-8088",
            "fax_number": "307-734-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC AND SPORTS INJURY CENTER OF JACKSON HOLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "ZENDLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "307-733-8088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenka Cervenanova
• James R Champa, M.D.
• Leah B Chase, PPC
• Elizabeth Cheroutes, LCSW
• Children's Learning Center
• Chris Schroeder
• Danielle Christensen, PEER SPECIALIST
• Virginia N Christensen, PT, DSC, OCS
• Christina Kitchen PC
• Lara Cilo, M.S., CF-SLP

• Chiropractor in Jackson, WY
• Providers in Jackson, WY by specialty
• Chiropractor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.