Active NPI
Jaclyn Jo Ortgies, D.C.
- Chiropractor
- North Liberty, IA
National Provider Identifier
1790926889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007087
- Practice address
- 1839 Goose Lake Cir
North Liberty, IA 52317-4706 - Phone
- (319) 471-1882
- NPI assigned
- Mar 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007087 | IA | Primary |
Addresses
Primary practice location
1839 Goose Lake Cir
North Liberty, IA 52317-4706
Mailing address
PO Box 224
North Liberty, IA 52317-0224
Phone (563) 570-1414
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007087 | IA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237420800000",
"number": "1790926889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 224",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523170224",
"telephone_number": "563-570-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1839 GOOSE LAKE CIR",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523174706",
"telephone_number": "319-471-1882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTGIES",
"first_name": "JACLYN",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-19",
"last_updated": "2009-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "007087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Liberty, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.