Individual provider Active NPI

Wendy Krutul Jones, D.C.

  • Chiropractor
  • Roswell, GA
National Provider Identifier
1609949833
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR004696 Issued in GA
Practice address
600 Houze Way
A4
Roswell, GA 30076-1435
Phone
(770) 993-0040
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR004696 GA Primary

Addresses

Primary practice location

600 Houze Way
A4
Roswell, GA 30076-1435

Mailing address

600 Houze Way
A4
Roswell, GA 30076-1435
Phone (770) 993-0040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151230002141 GA Practitioner - Chiropractic 8527360072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Burns and Krutul IncGroup PAC ID 1759442049, 2 clinicians

Practice addresses (Care Compare)

600 Houze Way
Roswell, GA 30076-1432
Phone (770) 993-0040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4696GAMDPediatric Transplant Hepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Burns and Krutul Inc CurrentSince May 16, 2015 Accepting new patients

Locations

600 Houze Way
Ste A4
Roswell, GA 30076
Phone (770) 993-0040

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609949833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HOUZE WAY",
            "address_2": "A4",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761435",
            "telephone_number": "770-993-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HOUZE WAY",
            "address_2": "A4",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761435",
            "telephone_number": "770-993-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUTUL JONES",
        "first_name": "WENDY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR004696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.