Individual provider Active NPI

Jason Janssen, D.C.

  • Chiropractor
  • Kearney, NE
National Provider Identifier
1497074488
Registry record updated Dec 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1618 Issued in NE
Practice address
2610 2ND Ave
Kearney, NE 68847-4417
Phone
(308) 430-4698
NPI assigned
May 31, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1618 NE Primary

Addresses

Primary practice location

2610 2ND Ave
Kearney, NE 68847-4417

Mailing address

2610 2ND Ave
Kearney, NE 68847-4417
Phone (308) 430-4698

Other identifiers 1

IdentifierTypeStateIssuer
10025862700MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1618NEMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wahoo Spine and Sport Chiropractic, P.C. Chiropractor PastSince Jun 14, 2010 Accepting new patients
Absolute Health Chiropractic Clinic LLC Chiropractor PastSince Oct 7, 2013 Accepting new patients
Reed Family Chiropractic PC Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1275264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450915200000",
    "number": "1497074488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 2ND AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688474417",
            "telephone_number": "308-430-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 2ND AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688474417",
            "telephone_number": "308-430-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSSEN",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-31",
        "last_updated": "2015-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025862700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2015; 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.