Individual provider Active NPI

Jill G Unwin, D.C.

  • Chiropractor
  • Verona, WI
National Provider Identifier
1487615035
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3193 Issued in WI
Practice address
212 E Verona Ave
Suite B
Verona, WI 53593-1223
Phone
(608) 848-1800
Fax
(608) 848-1802
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3193 WI Primary

Addresses

Primary practice location

212 E Verona Ave
Suite B
Verona, WI 53593-1223

Mailing address

212 E Verona Ave
Suite B
Verona, WI 53593-1223
Phone (608) 848-1800

Other identifiers 1

IdentifierTypeStateIssuer
38909200MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050809001068 WI Practitioner - Chiropractic 4183653215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

102 N Franklin St
Verona, WI 53593-1202
Phone (608) 848-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Unwin Chiropractic & Wellness Center, S.C. Chiropractor CurrentSince Mar 1, 2006 Accepting new patients
Chiropractic Care Centers, S.C. Chiropractor Past Accepting new patients

Locations

102 N Franklin St
Verona, WI 53593
Phone (608) 848-1800

212 E Verona Ave
Ste B
Verona, WI 53593
Phone (608) 848-1800

Organizations & group practices 2

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1487615035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E VERONA AVE",
            "address_2": "SUITE B",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931223",
            "telephone_number": "608-848-1800",
            "fax_number": "608-848-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E VERONA AVE",
            "address_2": "SUITE B",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931223",
            "telephone_number": "608-848-1800",
            "fax_number": "608-848-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNWIN",
        "first_name": "JILL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38909200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.