Individual provider Active NPI

Jordan Jeanette Schaenzer, DC

  • Chiropractor
  • Plantation, FL
National Provider Identifier
1972242196
Registry record updated Jun 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13904 Issued in FL
Practice address
7119 W Broward Blvd
Plantation, FL 33317-2210
Phone
(954) 417-5815
NPI assigned
Jun 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 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 CH13904 FL Primary

Addresses

Primary practice location

7119 W Broward Blvd
Plantation, FL 33317-2210

Mailing address

9855 NW 3Rd CT
Plantation, FL 33324-7078
Phone (920) 659-1121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220823000268 FL Practitioner - Chiropractic 0840673992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gena M Bofshever, DC, LLCGroup PAC ID 4082862362, 3 clinicians

Practice addresses (Care Compare)

7119 W Broward Blvd
Plantation, FL 33317-2210
Phone (954) 417-5815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH13904FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gena M Bofshever, DC, LLC Chiropractor CurrentSince Aug 16, 2022 Accepting new patients

Locations

7119 W Broward Blvd
Plantation, FL 33317
Phone (954) 417-5815

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": "1654300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654300800000",
    "number": "1972242196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9855 NW 3RD CT",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247078",
            "telephone_number": "920-659-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7119 W BROWARD BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172210",
            "telephone_number": "954-417-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAENZER",
        "first_name": "JORDAN",
        "middle_name": "JEANETTE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-04",
        "last_updated": "2022-06-04",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.