Active NPI
Jeffrey M Jernberg, D.C., P.C.
- Chiropractor
- Sioux City, IA
National Provider Identifier
1598047722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06265
- Legal business name
- JEFFREY M JERNBERG, D.C., P.C.
- Practice address
- 4281 Sergeant Rd
Sioux City, IA 51106-4625 - Phone
- (712) 274-6695
- Fax
- (712) 274-6699
- NPI assigned
- Sep 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Michael Jernberg, D.C.
- Title
- Owner
- Phone
- (712) 274-6695
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06265 | IA | Primary |
Addresses
Primary practice location
4281 Sergeant Rd
Sioux City, IA 51106-4625
Mailing address
4281 Sergeant Rd
Sioux City, IA 51106-4625
Phone (712) 274-6695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4281 Sergeant Rd
Sioux City, IA 51106
Phone (712) 274-6695
4719 Southern Hills Dr
Sioux City, IA 51106
Phone (712) 274-6695
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Sioux City, IA
- NPI 1942293378
-
- Chiropractor
- Sioux City, IA
- NPI 1225004559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315958400000",
"number": "1598047722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4281 SERGEANT RD",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511064625",
"telephone_number": "712-274-6695",
"fax_number": "712-274-6699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4281 SERGEANT RD",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511064625",
"telephone_number": "712-274-6695",
"fax_number": "712-274-6699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY M JERNBERG, D.C., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-14",
"last_updated": "2011-09-14",
"status": "A",
"authorized_official_last_name": "JERNBERG",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "712-274-6695",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IA",
"license": "06265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.