Jennifer Ashly Dorn, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6728 Issued in MN

Practice address

1755 17TH Ave E
Shakopee, MN 55379-3372

Phone

(952) 445-5250

NPI assigned

May 4, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bridge ChiropracticGroup PAC ID 2365521556, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bridge Chiropractic

  • Chiropractor
  • Shakopee, MN
  • NPI 1356513592
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1033730890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 ROUNDHOUSE ST",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791891",
            "telephone_number": "612-720-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 17TH AVE E",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793372",
            "telephone_number": "952-445-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORN",
        "first_name": "JENNIFER",
        "middle_name": "ASHLY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Dixon
• Mai Anh Doan
• Jayson Carl Dock, M.D.
• Casey Doig
• Taylor Donart
• Molly Dose, MT
• Douglas W. Vayda DDS
• Ayesha Downs, D.D.S
• Carole Doyscher, CRNA
• Dr Carol Leinonen PSYD LP PA

• Chiropractor in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.