Chiropractic Specialists of Watertown PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4378 Issued in MN

Legal business name

CHIROPRACTIC SPECIALISTS OF WATERTOWN PC

Practice address

142 Lewis Ave S
Watertown, MN 55388-4535

Phone

(952) 955-2070

Fax

(952) 955-2370

NPI assigned

Feb 7, 2007

Last updated

Nov 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Heather M Jarvis, DC

Title

Doctor

Phone

(952) 955-2070

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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.

• Heather Marie Kary Jarvis, D.C.

  • Chiropractor
  • Watertown, MN
  • NPI 1134200264
  Medicare reassignment NPD

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1710027990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "WATERTOWN",
            "state": "MN",
            "postal_code": "553880039",
            "telephone_number": "952-955-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 LEWIS AVE S",
            "city": "WATERTOWN",
            "state": "MN",
            "postal_code": "553884535",
            "telephone_number": "952-955-2070",
            "fax_number": "952-955-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC SPECIALISTS OF WATERTOWN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "952-955-2070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Jean Berg, MS CFY-SLP
• Karen A. Bisson, OTR
• Patric Burke, CMT
• Catalyst Medical Clinic PA
• Children's Therapy Specialists, Inc.
• Julie Choate, RCVT, RCT
• Jeffrey James Dagen, RPT
• David Thelen (carver eye care)
• DJ-MN Inc (Carver Eyecare)
• Don Sealock, O.D., P.a. (Watertown Eye Clinic)

• Chiropractor in Watertown, MN
• Providers in Watertown, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.