NPIMap

Individual provider Active NPI

Peter Jurkovskis, DOCTOR OF CHIROPRACT

  • Chiropractor
  • Springfield, MO
National Provider Identifier
1801068945
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CE005006 Issued in MO
Practice address
738 South Scenic Avenue
Springfield, MO 65802-5074
Phone
(417) 863-8020
Fax
(417) 883-8704
NPI assigned
Mar 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CE005006 MO Primary

Addresses

Primary practice location

738 South Scenic Avenue
Springfield, MO 65802-5074

Mailing address

738 South Scenic Avenue
Springfield, MO 65802-5074
Phone (417) 863-8020

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

LicenseStateTypeSpecialty
CE005006MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey P. Kraichely, D.C., P.C. Chiropractor Past Accepting new patients
Be Well Chiropractic Center LLC 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": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1801068945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 SOUTH SCENIC AVENUE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658025074",
            "telephone_number": "417-863-8020",
            "fax_number": "417-883-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 SOUTH SCENIC AVENUE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658025074",
            "telephone_number": "417-863-8020",
            "fax_number": "417-883-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURKOVSKIS",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF CHIROPRACT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "CE005006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.