Individual provider Active NPI

Jared Mark Radermacher, DC

  • Chiropractor
  • Verona, WI
National Provider Identifier
1548827017
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5455-12 Issued in WI
Practice address
600 W Verona Ave
Verona, WI 53593-8363
Phone
(608) 387-4859
NPI assigned
May 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5455-12 WI Primary

Addresses

Primary practice location

600 W Verona Ave
Verona, WI 53593-8363

Mailing address

600 W Verona Ave
Verona, WI 53593-8363
Phone (608) 387-4859

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drjared@chironow.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190618003278 WI Practitioner - Chiropractic 1153655568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Torson Enterprises LLCGroup PAC ID 9739401100, 4 clinicians

Practice addresses (Care Compare)

550 W Maple St
Suite 201
Baraboo, WI 53913-1166
Phone (608) 355-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Torson Enterprises LLC Chiropractor CurrentSince Jun 4, 2020 Accepting new patients

Locations

550 W Maple St
#201
Baraboo, WI 53913
Phone (608) 355-4100

Organizations & group practices 1

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": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1548827017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W VERONA AVE",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535938363",
            "telephone_number": "608-387-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W VERONA AVE",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535938363",
            "telephone_number": "608-387-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADERMACHER",
        "first_name": "JARED",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5455-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drjared@chironow.com",
            "affiliation": "N",
            "endpointDescription": "E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "600 W Verona Ave",
            "city": "Verona",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535938363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 3, 2019; 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.