Organization Active NPI

Jorandby Chiropractic Office, S.C.

  • Chiropractor
  • Reedsburg, WI
National Provider Identifier
1952450264
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2310 Issued in WI
Legal business name
JORANDBY CHIROPRACTIC OFFICE, S.C.
Practice address
149 N Park St
Reedsburg, WI 53959-1651
Phone
(608) 524-2213
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Dr. Shelly Jo Jorandby, D.C.NPI 1205984952
Title
Partner
Phone
(608) 524-2213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2310 WI Primary

Addresses

Primary practice location

149 N Park St
Reedsburg, WI 53959-1651

Mailing address

149 N Park St
Reedsburg, WI 53959-1651
Phone (608) 524-2213

Other identifiers 2

IdentifierTypeStateIssuer
38835300MedicaidWI
38835400MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071031000346 WI Part B Supplier - Clinic/Group Practice 4284721705 Receives reassigned benefits from 2 practitioners
Practice locations: Reedsburg, WI

National Provider Directory

National Provider Directory

Locations

149 N Park St
Reedsburg, WI 53959
Phone (608) 524-2213

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1952450264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 N PARK ST",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591651",
            "telephone_number": "608-524-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 N PARK ST",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591651",
            "telephone_number": "608-524-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORANDBY CHIROPRACTIC OFFICE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "JORANDBY",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "608-524-2213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38835300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38835400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.