Jennifer Dour, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00655600 Issued in NJ

Practice address

4 Brighton Rd Ste 304
Clifton, NJ 07012-1665

Phone

(732) 570-8491

Fax

(973) 860-2434

NPI assigned

Sep 22, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Garden State Spinal Care

  • Chiropractor
  • Clifton, NJ
  • NPI 1861907180
  Medicare reassignment NPD Authorized official
• New Jersey Spinal Care P a

  • Sports Physician Chiropractor
  • Wayne, NJ
  • NPI 1194746461
  Medicare reassignment

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1124352265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BRIGHTON RD STE 304",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121665",
            "telephone_number": "732-570-8491",
            "fax_number": "973-860-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BRIGHTON RD STE 304",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121665",
            "telephone_number": "732-570-8491",
            "fax_number": "973-860-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUR",
        "first_name": "JENNIFER",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00655600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "1861907180",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Dominguez
• Jessica Dominguez, PA-C
• Donald H Green MD PA
• Brian Donovan, DC
• Doorways Outreach
• Devin Douvier
• Dr D Physical Therapy LLC
• Dr Dental of Clifton PC
• Dr Jeffrey M Jacobs DPM PC
• Dr John R Mordaga PC

• Chiropractor in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.