Individual provider Active NPI

Jenna Christine Werre, DC

  • Chiropractor
  • Rapid City, SD
National Provider Identifier
1861168486
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1411 Issued in SD
Practice address
3625 5TH St
Rapid City, SD 57701-6015
Phone
(605) 718-1095
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1411 SD Primary

Addresses

Primary practice location

3625 5TH St
Rapid City, SD 57701-6015

Mailing address

PO Box 3555
Rapid City, SD 57709-3555

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jenna.werre@va.gov

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
1411SDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Black Hills Health Care System PastSince Aug 29, 2021 Accepting new patients

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": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1861168486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3555",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577093555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 5TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016015",
            "telephone_number": "605-718-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERRE",
        "first_name": "JENNA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenna.werre@va.gov",
            "affiliation": "N",
            "address_1": "3625 5th St",
            "city": "Rapid City",
            "state": "SD",
            "country_code": "US",
            "postal_code": "577016015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.