Individual provider Active NPI

Christopher Juergens, D.C.

  • Chiropractor
  • Tumwater, WA
National Provider Identifier
1538366331
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034772 Issued in WA
Practice address
100 Ruby St SE Ste F
Tumwater, WA 98501
Phone
(360) 943-4797
Fax
(360) 709-0542
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034772 WA Primary

Addresses

Primary practice location

100 Ruby St SE Ste F
Tumwater, WA 98501

Mailing address

100 Ruby St SE Ste F
Tumwater, WA 98501-6724
Phone (360) 943-4797

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070912000254 WA Practitioner - Chiropractic 7911090535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Ruby St SE
Suite F
Tumwater, WA 98501-6724
Phone (360) 943-4797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00034772WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Juergens Chiropractic , LLC Chiropractor CurrentSince Mar 1, 2013 Accepting new patients
Tumwater Chiropractic Center PS Chiropractor PastSince May 23, 2005 Accepting new patients
Physical Therapy Empowered, PLLC PastSince Jul 2, 2023 Accepting new patients

Locations

100 Ruby St SE
Ste F
Tumwater, WA 98501
Phone (360) 943-4797

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1538366331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RUBY ST SE STE F",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985016724",
            "telephone_number": "360-943-4797",
            "fax_number": "360-570-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RUBY ST SE STE F",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "98501",
            "telephone_number": "360-943-4797",
            "fax_number": "360-709-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUERGENS",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.