Active NPI
Jansen & Jansen, D.C., Inc.
Doing business as Jansen Family Chiropractic
- Chiropractor
- Kendallville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 111N00000X
- Legal business name
- JANSEN & JANSEN, D.C., INC.
- Doing business as
- Jansen Family Chiropractic
- Practice address
- 402 N Riley St
Kendallville, IN 46755-1262 - Phone
- (260) 347-1150
- Fax
- (260) 347-1155
- NPI assigned
- Aug 9, 2006
- Last updated
- Sep 23, 2010
- 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. Thomas L. Jansen, D.C.
- Title
- President
- Phone
- (260) 347-1150
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 111N00000X | IN | Primary |
Addresses
Primary practice location
402 N Riley St
Kendallville, IN 46755-1262
Mailing address
402 N Riley St
Kendallville, IN 46755-1262
Phone (260) 347-1150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100190920A | Medicaid | IN |
Other names 1
- Jansen Family Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
402 N Riley St
Kendallville, IN 46755
Phone (260) 242-0836
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Chiropractor
- Kendallville, IN
- NPI 1003626359
-
- Chiropractor
- Kendallville, IN
- NPI 1275989014
-
- Chiropractor
- Kendallville, IN
- NPI 1750347324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285200000000",
"number": "1679583876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 N RILEY ST",
"city": "KENDALLVILLE",
"state": "IN",
"postal_code": "467551262",
"telephone_number": "260-347-1150",
"fax_number": "260-347-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 N RILEY ST",
"city": "KENDALLVILLE",
"state": "IN",
"postal_code": "467551262",
"telephone_number": "260-347-1150",
"fax_number": "260-347-1155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANSEN & JANSEN, D.C., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-09",
"last_updated": "2010-09-23",
"status": "A",
"authorized_official_last_name": "JANSEN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "260-347-1150",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "111N00000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100190920A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jansen Family Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kendallville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.