Active NPI
Jason Janssen, D.C.
- Chiropractor
- Kearney, NE
National Provider Identifier
1497074488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1618
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025862700 | Medicaid | NE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1618 | NE | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wahoo Spine and Sport Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
| Absolute Health Chiropractic Clinic LLC | Chiropractor | Past | 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.
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- Chiropractor
- York, NE
- NPI 1932118221
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.