Individual provider Active NPI

Jordyn L Soppa

  • Chiropractor
  • Medford, WI
National Provider Identifier
1811754021
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6171-12 Issued in WI
Practice address
333 N 8TH St
Medford, WI 54451
Phone
(715) 748-2334
NPI assigned
Mar 4, 2024
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6171-12 WI Primary

Addresses

Primary practice location

333 N 8TH St
Medford, WI 54451

Mailing address

333 N 8TH St
Medford, WI 54451
Phone (715) 748-2334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240319003651 WI Practitioner - Chiropractic 2567809031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Body Right Chiropractic SCGroup PAC ID 8426568023, 3 clinicians

Practice addresses (Care Compare)

333 N 8TH St
Medford, WI 54451-1515
Phone (715) 748-2334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Body Right Chiropractic SC Chiropractor CurrentSince Jun 1, 2025 Accepting new patients
Wildberg Chiropractic Office SC Chiropractor CurrentSince Mar 11, 2024 Accepting new patients

Locations

333 N 8th St
Medford, WI 54451
Phone (715) 748-2334

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1811754021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N 8TH ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "54451",
            "telephone_number": "715-748-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N 8TH ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "54451",
            "telephone_number": "715-748-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPPA",
        "first_name": "JORDYN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6171-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.