Organization Active NPI

Jennifer Hammer-Codd D.C., a Professional Chiropractic Corporat

  • Chiropractor
  • Petaluma, CA
National Provider Identifier
1285217240
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JENNIFER HAMMER-CODD D.C., A PROFESSIONAL CHIROPRACTIC CORPORAT
Practice address
709 Petaluma Blvd N
Petaluma, CA 94952-2106
Phone
(707) 763-0564
Fax
(707) 763-8982
NPI assigned
Apr 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Authorized official

Name
Dr. Jennifer Hammer-Codd, DCNPI 1821544305
Title
President
Phone
(707) 763-0564

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

709 Petaluma Blvd N
Petaluma, CA 94952-2106

Mailing address

709 Petaluma Blvd N
Petaluma, CA 94952-2106
Phone (707) 763-0564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210909003295 CA Part B Supplier - Clinic/Group Practice 2163828534 Receives reassigned benefits from 1 practitioner
Practice locations: Petaluma, CA

National Provider Directory

National Provider Directory

Locations

709 Petaluma Blvd N
Petaluma, CA 94952
Phone (707) 763-0564

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1285217240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 PETALUMA BLVD N",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522106",
            "telephone_number": "707-763-0564",
            "fax_number": "707-763-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 PETALUMA BLVD N",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522106",
            "telephone_number": "707-763-0564",
            "fax_number": "707-763-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER HAMMER-CODD D.C., A PROFESSIONAL CHIROPRACTIC CORPORAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "HAMMER-CODD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-763-0564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.