Jack Thomas Janning, DC, ATC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007359 Issued in IA

Practice address

202 S Idaho St
Glidden, IA 51443-1035

Phone

(712) 830-3153

NPI assigned

Nov 14, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Soppe Chiropractic Clinic, IncGroup PAC ID 9032272794, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Soppe Chiropractic Clinic, Inc

  • Chiropractor
  • Carroll, IA
  • NPI 1801818869
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1477830883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S IDAHO ST",
            "city": "GLIDDEN",
            "state": "IA",
            "postal_code": "514431035",
            "telephone_number": "712-830-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S IDAHO ST",
            "city": "GLIDDEN",
            "state": "IA",
            "postal_code": "514431035",
            "telephone_number": "712-830-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANNING",
        "first_name": "JACK",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DC, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Elizabeth Fleecs, ARNP
• Glidden-Ralston C.S.D.
• Janning Chiropractic, PLLC
• Tianna L Janssen, BS

• All providers in Glidden, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.