Individual provider Active NPI

John William Zendler, DC

  • Chiropractor
  • Jackson, WY
National Provider Identifier
1932329083
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
569 Issued in WY
Practice address
215 Scott Lane
Jackson, WY 83001
Phone
(307) 733-8088
Fax
(307) 734-8584
NPI assigned
Apr 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 569 WY Primary

Addresses

Primary practice location

215 Scott Lane
Jackson, WY 83001

Mailing address

PO Box 10039
Jackson, WY 83002-0039
Phone (307) 733-8088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041115000861 WY Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 0345204830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Palmer College Chiropractic - Davenport, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10039 PO Box
Jackson, WY 83002

215 Scott LN
Jackson, WY 83001-8468
Phone (307) 733-8088

PO Box
Suite 10039
Jackson, WY 83002-0039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
569WYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic and Sports Injury Center of Jackson Hole PC Chiropractor CurrentSince May 23, 2010 Accepting new patients
Laura Simmons PT LLC PastSince May 23, 2010 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": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932329083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10039",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830020039",
            "telephone_number": "307-733-8088",
            "fax_number": "307-734-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SCOTT LANE",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83001",
            "telephone_number": "307-733-8088",
            "fax_number": "307-734-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENDLER",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, WY

Sources for this page

Verify at the official NPI Registry.