Organization Active NPI

Journey Chiropractic LLC

  • Chiropractor
  • North Prairie, WI
National Provider Identifier
1548869423
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JOURNEY CHIROPRACTIC LLC
Practice address
101 E Sadd St
North Prairie, WI 53153-9775
Phone
(262) 303-6267
NPI assigned
Oct 21, 2020
Last updated
Oct 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Dr. Jerijo Marie Hall, D.C.NPI 1225077555
Title
Registered Agent
Phone
(262) 303-6267

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 Primary

Addresses

Primary practice location

101 E Sadd St
North Prairie, WI 53153-9775

Mailing address

PO Box 194
North Prairie, WI 53153-0194
Phone (262) 303-6267

Other names 1

  • JeriJo Hall DC LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

101 E Sadd St
North Prairie, WI 53153
Phone (262) 303-6267

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1548869423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 194",
            "city": "NORTH PRAIRIE",
            "state": "WI",
            "postal_code": "531530194",
            "telephone_number": "262-303-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E SADD ST",
            "city": "NORTH PRAIRIE",
            "state": "WI",
            "postal_code": "531539775",
            "telephone_number": "262-303-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JERIJO",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "262-303-6267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JeriJo Hall DC LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in North Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.