Jensen Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4508-012 Issued in WI

Legal business name

JENSEN CHIROPRACTIC, LLC

Practice address

3525 E Calumet St
Suite 600
Appleton, WI 54915-4167

Phone

(920) 733-7888

Fax

(920) 733-7881

NPI assigned

Aug 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ross Allan Jensen, D.C.NPI 1568690972

Title

Manager

Phone

(920) 733-7888

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jensen Chiropractic, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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

• Ross Allan Jensen, D.C.

  • Chiropractor
  • Appleton, WI
  • NPI 1568690972
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1992937254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 E CALUMET ST",
            "address_2": "SUITE 600",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549154167",
            "telephone_number": "920-733-7888",
            "fax_number": "920-733-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 E CALUMET ST",
            "address_2": "SUITE 600",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549154167",
            "telephone_number": "920-733-7888",
            "fax_number": "920-733-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENSEN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-19",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "920-733-7888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4508-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568690972",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jensen Chiropractic, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel A Jenike
• Jessica M Jenkins-Werner, M.S., CCC-A/SLP
• Alicia Jennerjohn
• Alyssa Jennings, PA-C
• Dennis Eugene Jennings, DDS
• Ashley Jensen, LPC
• Janelle J. Jensen, APNP
• Karen Louise Jensen, PT, CHT.
• Katherine C Jensen, LPC
• Krista Jensen

• Chiropractor in Appleton, WI
• Providers in Appleton, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.