Organization Active NPI

JDN Enterprises Incorporated

Doing business as Nottger Chiropractic and Acupunture

  • Chiropractor
  • Bedford, IN
National Provider Identifier
1568599231
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002094A Issued in IN
Legal business name
JDN ENTERPRISES INCORPORATED
Doing business as
Nottger Chiropractic and Acupunture
Practice address
2808 Mitchell Rd
Bedford, IN 47421-5318
Phone
(812) 275-0500
Fax
(812) 275-3500
NPI assigned
Feb 28, 2007
Last updated
Feb 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Authorized official

Name
Dr. Jason D Nottger, DCNPI 1295710424
Title
Owner
Phone
(812) 275-0500

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002094A IN Primary
Acupuncturist 171100000X 81000080A IN

Addresses

Primary practice location

2808 Mitchell Rd
Bedford, IN 47421-5318

Mailing address

2808 Mitchell Rd
Bedford, IN 47421-5318
Phone (812) 275-0500

Other names 1

  • Nottger Chiropractic and Acupunture Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070516000201 IN Part B Supplier - Clinic/Group Practice 6406953017 Receives reassigned benefits from 1 practitioner
Practice locations: Bedford, IN

National Provider Directory

National Provider Directory
Tax ID family
JDN Enterprises Incorporated2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

630 Lincoln Ave
Bedford, IN 47421

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1568599231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 MITCHELL RD",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474215318",
            "telephone_number": "812-275-0500",
            "fax_number": "812-275-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 MITCHELL RD",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474215318",
            "telephone_number": "812-275-0500",
            "fax_number": "812-275-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDN ENTERPRISES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "NOTTGER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-275-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002094A",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IN",
            "license": "81000080A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nottger Chiropractic and Acupunture",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nottger Chiropractic and Acupunture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.