NPIMap

Organization Active NPI

Jennifer M. Sertell

  • Chiropractor
  • Urbana, OH
National Provider Identifier
1487836037
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3504 Issued in OH
Legal business name
JENNIFER M. SERTELL
Doing business as
Sertell Chiropractic Clinic, L.L.C.
Practice address
848 Scioto St
Urbana, OH 43078-2255
Phone
(937) 484-4300
Fax
(937) 484-4302
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Authorized official

Name
Dr. Jennifer Marie Sertell, D.C.NPI 1821043670
Title
Chiropractor/Owner
Phone
(937) 484-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3504 OH Primary

Addresses

Primary practice location

848 Scioto St
Urbana, OH 43078-2255

Mailing address

848 Scioto St
Urbana, OH 43078-2255
Phone (937) 484-4300

Other names 1

  • Sertell Chiropractic Clinic, L.L.C. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1487836037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 SCIOTO ST",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782255",
            "telephone_number": "937-484-4300",
            "fax_number": "937-484-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 SCIOTO ST",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782255",
            "telephone_number": "937-484-4300",
            "fax_number": "937-484-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER M. SERTELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "SERTELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "937-484-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sertell Chiropractic Clinic, L.L.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Urbana, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.