Jerry Robin Jorgensen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

639 Issued in NE

Practice address

110 S Sherman Ave
North Platte, NE 69101-4913

Phone

(308) 534-1870

Fax

(308) 534-1871

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1598839680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S SHERMAN AVE",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691014913",
            "telephone_number": "308-534-1870",
            "fax_number": "308-534-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S SHERMAN AVE",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691014913",
            "telephone_number": "308-534-1870",
            "fax_number": "308-534-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "JERRY",
        "middle_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47061036401",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MED",
            "identifier": "350027451",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09511",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily J Jones, M.D.
• Natosha Lynne Jones
• Susan Marie Jones, LPN
• Jorgensen Chiropractic Care LLC
• Jered Anthony Jorgensen, DC
• Megan Elizabeth Jorgensen, DC
• Robyn Joyner, LMT
• Judith M. Schwartz
• Craig Scott Juenemann
• Brett Elizabeth Julius, GUIDANCE COUNSELOR

• Chiropractor in North Platte, NE
• Providers in North Platte, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.