Jurgensen Chiropractic of Mondovi, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JURGENSEN CHIROPRACTIC OF MONDOVI, INC.

Practice address

143 N Franklin St
Mondovi, WI 54755-1117

Phone

(715) 926-4998

Fax

(715) 926-4998

NPI assigned

Dec 30, 2014

Last updated

Apr 1, 2019By 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. Jacob Jurgensen, D.C.NPI 1821496795

Title

President

Phone

(715) 926-4998

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

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.

• Jacob Jurgensen

  • Chiropractor
  • Mondovi, WI
  • NPI 1821496795
  Medicare reassignment Care Compare group NPD Authorized official
• Andrea Lee Jurgensen

  • Chiropractor
  • Mondovi, WI
  • NPI 1801294780
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1780072686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 N FRANKLIN ST",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "547551117",
            "telephone_number": "715-926-4998",
            "fax_number": "715-926-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 N FRANKLIN ST",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "547551117",
            "telephone_number": "715-926-4998",
            "fax_number": "715-926-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JURGENSEN CHIROPRACTIC OF MONDOVI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "JURGENSEN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-926-4998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Hagen, D.M.D.
• Mohamed F Harunani, DDS
• Health Steps, L.L.C. (Rock Falls Chiropractic)
• Gordon John Helgoe, D.C.
• Daniel Joseph Johnson
• Andrea Lee Jurgensen
• Jacob Jurgensen
• Rachel R Kent
• Jennifer L Kronenberg, MSW, LCSW
• Douglas R Lochner-Wright, PT

• Chiropractor in Mondovi, WI
• Providers in Mondovi, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.