Individual provider Active NPI

Christopher Glenn Jones, DC

  • Chiropractor
  • Sussex, WI
National Provider Identifier
1962035279
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5518-12 Issued in WI
Practice address
N63W23524 Silver Spring Dr Stop 4
Sussex, WI 53089-3897
Phone
(262) 409-6754
Fax
(262) 246-8894
NPI assigned
Feb 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5518-12 WI Primary

Addresses

Primary practice location

N63W23524 Silver Spring Dr Stop 4
Sussex, WI 53089-3897

Mailing address

N63W23524 Silver Spring Dr Stop 4
Sussex, WI 53089-3897
Phone (262) 409-6754

Other practice location 1

15010 W Greenfield Ave Ste 100
Brookfield, WI 53005-7068
Phone (262) 754-5500

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ajm Chiropractic S.C. Chiropractor Past 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": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1962035279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N63W23524 SILVER SPRING DR STOP 4",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530893897",
            "telephone_number": "262-409-6754",
            "fax_number": "262-246-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N63W23524 SILVER SPRING DR STOP 4",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530893897",
            "telephone_number": "262-409-6754",
            "fax_number": "262-246-8894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15010 W Greenfield Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530057068",
            "country_code": "US",
            "telephone_number": "262-754-5500",
            "fax_number": "262-754-5501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "CHRISTOPHER",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-14",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5518-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sussex, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.