Individual provider Active NPI

Jacob Lindner, DC

  • Chiropractor
  • Woodruff, WI
National Provider Identifier
1477080109
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5282-12 Issued in WI
Practice address
103 Elm St
2ND Floor
Woodruff, WI 54568-9164
Phone
(715) 358-6650
Fax
(715) 358-6381
NPI assigned
May 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5282-12 WI Primary

Addresses

Primary practice location

103 Elm St
2ND Floor
Woodruff, WI 54568-9164

Mailing address

103 Elm St
2ND Floor
Woodruff, WI 54568-9164
Phone (715) 358-6650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170609000128 WI Practitioner - Chiropractic 0042588345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Country Chiropractic and Wellness, LLCGroup PAC ID 2264614940, 2 clinicians

Practice addresses (Care Compare)

9762 W Lake Ave
Minocqua, WI 54548-9754
Phone (715) 358-6650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5282-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lac Du Flambeau Band of Lake Superior Chippewa Indians CurrentSince Jan 1, 2023 Accepting new patients
North Country Chiropractic & Wellness LLC Chiropractor CurrentSince May 31, 2017 Accepting new patients
Lac Du Flambeau Band of Lake Superior Chippewa Indians CurrentSince Jan 1, 2023 Accepting new patients
North Country Chiropractic, S.C. Chiropractor Past Accepting new patients

Locations

129 Old Abe Rd
Lac du Flambu, WI 54538
Phone (715) 588-3371

9762 W Lake Ave
Minocqua, WI 54548
Phone (715) 358-3321

103 Elm St
Ste 2
Woodruff, WI 54568
Phone (715) 358-6650

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": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1477080109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ELM ST",
            "address_2": "2ND FLOOR",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545689164",
            "telephone_number": "715-358-6650",
            "fax_number": "715-358-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ELM ST",
            "address_2": "2ND FLOOR",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545689164",
            "telephone_number": "715-358-6650",
            "fax_number": "715-358-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDNER",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5282-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodruff, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.

Verify at the official NPI Registry.