Individual provider Active NPI

Jennifer Lea Wojcik, D.C.

  • Chiropractor
  • Boone, IA
National Provider Identifier
1710175708
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007002 Issued in IA
Practice address
813 Keeler St
Boone, IA 50036-2729
Phone
(515) 230-2274
NPI assigned
Oct 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007002 IA Primary

Addresses

Primary practice location

813 Keeler St
Boone, IA 50036-2729

Mailing address

813 Keeler St
PO Box 632
Boone, IA 50036-2729
Phone (515) 230-2274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007002IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Carlson Chiropractic Center PC Chiropractor PastSince Jun 15, 2009 Accepting new patients
Sunrise Chiropractic Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1710175708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 KEELER ST",
            "address_2": "PO BOX 632",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500362729",
            "telephone_number": "515-230-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 KEELER ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500362729",
            "telephone_number": "515-230-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJCIK",
        "first_name": "JENNIFER",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.