Active NPI
Jacob Robert Werner, D.C.
- Chiropractor
- Abbotsford, WI
National Provider Identifier
1821480948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5130
- Practice address
- 601 E Spruce St
Abbotsford, WI 54405-9659 - Phone
- (715) 255-3594
- NPI assigned
- Feb 26, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6010 | MN | |
| Chiropractor | 111N00000X | 5130 | WI | Primary |
Addresses
Primary practice location
601 E Spruce St
Abbotsford, WI 54405-9659
Mailing address
601 E Spruce St
Abbotsford, WI 54405-9659
Phone (715) 255-3594
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5130 | WI | MD | Chiropractor |
| 6010 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449187200000",
"number": "1821480948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E SPRUCE ST",
"city": "ABBOTSFORD",
"state": "WI",
"postal_code": "544059659",
"telephone_number": "715-255-3594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E SPRUCE ST",
"city": "ABBOTSFORD",
"state": "WI",
"postal_code": "544059659",
"telephone_number": "715-255-3594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNER",
"first_name": "JACOB",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-26",
"last_updated": "2015-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6010",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "5130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abbotsford, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.