Individual provider Active NPI

James Mark Damrow, D.C,

  • Chiropractor
  • Janesville, WI
National Provider Identifier
1821151952
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2877-12 Issued in WI
Practice address
3628 Ridge Dr
Janesville, WI 53548-5837
Phone
(608) 754-3696
Fax
(608) 754-0782
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2877-12 WI Primary

Addresses

Primary practice location

3628 Ridge Dr
Janesville, WI 53548-5837

Mailing address

3628 Ridge Dr
Janesville, WI 53548-5837
Phone (608) 754-3696

Other identifiers 1

IdentifierTypeStateIssuer
38908900MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050210000015 WI Practitioner - Chiropractic 7416908272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Damrow Chiropractic Office SCGroup PAC ID 4284685041, 3 clinicians

Practice addresses (Care Compare)

3628 Ridge Dr
Janesville, WI 53548-5820
Phone (608) 754-3696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Damrow Chiropractic Office, SC Chiropractor CurrentSince Nov 8, 2004 Accepting new patients

Locations

3628 Ridge Dr
Janesville, WI 53548
Phone (608) 754-3696

3628 Ridge Dr
Ste 1
Janesville, WI 53548

Interoperability endpoints

  • Direct secure messaging: james.damrow.1@15975.direct.athenahealth.com

Organizations & group practices 1

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821151952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 RIDGE DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535485837",
            "telephone_number": "608-754-3696",
            "fax_number": "608-754-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 RIDGE DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535485837",
            "telephone_number": "608-754-3696",
            "fax_number": "608-754-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMROW",
        "first_name": "JAMES",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.C,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2877-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38908900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.