Active NPI
Dover Chiropractic and Rehabilitation, Inc.
- Rehabilitation Chiropractor
- Dover, DE
National Provider Identifier
1053835926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- F1-0000721
- Legal business name
- DOVER CHIROPRACTIC AND REHABILITATION, INC.
- Practice address
- 222 S Dupont Hwy Ste 203
Dover, DE 19901-3798 - Phone
- (302) 290-5552
- Fax
- (302) 376-6517
- NPI assigned
- Aug 1, 2017
- Last updated
- Apr 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Trevor Kent Ennis, D.C.
- Title
- President
- Phone
- (302) 376-5830
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | F1-0000721 | DE | Primary |
Addresses
Primary practice location
222 S Dupont Hwy Ste 203
Dover, DE 19901-3798
Mailing address
103 Ashvale Dr
Smyrna, DE 19977-4031
Phone (302) 290-5552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Georgetown, DE
- NPI 1821430463
-
- Sports Physician Chiropractor
- Dover, DE
- NPI 1538926738
-
- Family Nurse Practitioner
- Middletown, DE
- NPI 1194405837
-
- Rehabilitation Chiropractor
- Middletown, DE
- NPI 1316198005
-
- Chiropractor
- Wilmington, DE
- NPI 1508016536
-
- Chiropractor
- Smyrna, DE
- NPI 1942329354
-
- Chiropractor
- Dover, DE
- NPI 1710652185
-
- Family Nurse Practitioner
- Milford, DE
- NPI 1477308898
-
- Nurse Practitioner
- Dover, DE
- NPI 1730287541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587600000000",
"number": "1053835926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 ASHVALE DR",
"city": "SMYRNA",
"state": "DE",
"postal_code": "199774031",
"telephone_number": "302-290-5552",
"fax_number": "302-376-6517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 S DUPONT HWY STE 203",
"city": "DOVER",
"state": "DE",
"postal_code": "199013798",
"telephone_number": "302-290-5552",
"fax_number": "302-376-6517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOVER CHIROPRACTIC AND REHABILITATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-01",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A",
"authorized_official_last_name": "ENNIS",
"authorized_official_first_name": "TREVOR",
"authorized_official_middle_name": "KENT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "302-376-5830",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "DE",
"license": "F1-0000721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
- Kahjae Douglas
- Megan Douglas
- Dover Aid II Opco LLC (Dover Place)
- Dover Alf Limited Liability Company (Heritage at Dover)
- Dover Anesthesia, LLC
- Dover Family and Cosmetic Dentistry
- Dover Family Chiropractic
- Dover Family Physicians PA
- Dover Health Care Associates Inc (Silver Lake Center)
- Dover Health Care Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.