Springfield Family Chiropractic, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC04888 Issued in NJ

Legal business name

SPRINGFIELD FAMILY CHIROPRACTIC, PA

Practice address

1 Pine Tree LN
Jobstown, NJ 08041-2028

Phone

(609) 265-7727

Fax

(609) 265-7079

NPI assigned

Oct 16, 2006

Last updated

Aug 22, 2020By 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. Dawn M. Kerensky-Wille, DCNPI 1902986185

Title

Owner/President

Phone

(609) 265-7727

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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.

• Dawn Manette Kerensky-Wille, DC

  • Chiropractor
  • Jobstown, NJ
  • NPI 1902986185
  Medicare reassignment Care Compare group NPD Authorized official
• Ryan Edward Wille, DC

  • Chiropractor
  • Jobstown, NJ
  • NPI 1235219056
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417037243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PINE TREE LN",
            "city": "JOBSTOWN",
            "state": "NJ",
            "postal_code": "080412028",
            "telephone_number": "609-265-7727",
            "fax_number": "609-265-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PINE TREE LN",
            "city": "JOBSTOWN",
            "state": "NJ",
            "postal_code": "080412028",
            "telephone_number": "609-265-7727",
            "fax_number": "609-265-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD FAMILY CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KERENSKY-WILLE",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "609-265-7727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benizzi Family Chiropractic, P.C.
• Gossip & Growth LLC
• Dawn Manette Kerensky-Wille, DC
• Superior Medical Response Inc. (SMR Ambulance Services Inc)
• Mary Ann Thornton, LPN
• Ryan Edward Wille, DC

• Chiropractor in Jobstown, NJ
• Providers in Jobstown, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.