Domer Chiropractic Wellness Center PC Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC008006L Issued in PA

Legal business name

DOMER CHIROPRACTIC WELLNESS CENTER PC INC

Practice address

426 Allegheny River Blvd
Oakmont, PA 15139-1725

Phone

(412) 828-4383

NPI assigned

Dec 6, 2005

Last updated

Jan 4, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Zackary W Jenniches, D.C.NPI 1649576554

Title

Owner

Phone

(412) 828-4383

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 5

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.

• Zackary William Jenniches, D.C.

  • Rehabilitation Chiropractor
  • Lower Burrell, PA
  • NPI 1649576554
  Medicare reassignment NPD Authorized official
• Kathleen Sharick, DC

  • Chiropractor
  • Oakmont, PA
  • NPI 1003367632
  NPD
• Thurnetta Woodall, LMT

  • Massage Therapist
  • Oakmont, PA
  • NPI 1558122069
  NPD
• Jason E. Domer, D.C.

  • Chiropractor
  • Oakmont, PA
  • NPI 1376527903
  NPD (past)
• Melinda M. Domer, D.C.

  • Chiropractor
  • Oakmont, PA
  • NPI 1003890633
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1275517807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 ALLEGHENY RIVER BLVD",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151391725",
            "telephone_number": "412-828-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 ALLEGHENY RIVER BLVD",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151391725",
            "telephone_number": "412-828-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMER CHIROPRACTIC WELLNESS CENTER PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "JENNICHES",
        "authorized_official_first_name": "ZACKARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-828-4383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008006L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deer Lakes Medical Association (Deer Lakes Medical Association - Oakmont)
• Richard Joseph Defilippo, DMD
• Joseph Diamtteo, PHARMD
• Dante Jesse Dimatteo, PHARM.D
• Joseph Frank Dininno, PHARMACY MANAGER
• Jason E. Domer, D.C.
• Melinda M. Domer, D.C.
• Donald a. Stoner, D.M.D., P.C. (Oakmont Dental Associates)
• Donna Dexter
• Dr. Dennis L Co (Family Dentistry)

• Chiropractor in Oakmont, PA
• Providers in Oakmont, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.