Active NPI
Jennifer B Walder, DC
- Chiropractor
- Dover, DE
National Provider Identifier
1255586160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- F1-0000706
- Practice address
- 240 Beiser Blvd
Suite 202a
Dover, DE 19904-8208 - Phone
- (302) 734-0300
- Fax
- (302) 734-9300
- NPI assigned
- Nov 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | F1-0000706 | DE | Primary |
Addresses
Primary practice location
240 Beiser Blvd
Suite 202a
Dover, DE 19904-8208
Mailing address
240 Beiser Blvd
Suite 202a
Dover, DE 19904-8208
Phone (302) 734-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Spine Care, LLC | Chiropractor | Past | Accepting new patients |
| South Florida Physical Therapy Associates Inc | Past | Accepting new patients | |
| South Florida Pain & Rehab Center Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Dover, DE
- NPI 1396990305
-
- Chiropractor
- North Miami Beach, FL
- NPI 1295901551
-
- Physical Therapy Clinic/Center
- N Miami Beach, FL
- NPI 1437345568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227052800000",
"number": "1255586160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 BEISER BLVD",
"address_2": "SUITE 202A",
"city": "DOVER",
"state": "DE",
"postal_code": "199048208",
"telephone_number": "302-734-0300",
"fax_number": "302-734-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 BEISER BLVD",
"address_2": "SUITE 202A",
"city": "DOVER",
"state": "DE",
"postal_code": "199048208",
"telephone_number": "302-734-0300",
"fax_number": "302-734-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDER",
"first_name": "JENNIFER",
"middle_name": "B",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-19",
"last_updated": "2008-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "DE",
"license": "F1-0000706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.