Individual provider Active NPI

Jesse Christopher Dugan, DC

  • Chiropractor
  • Allentown, PA
National Provider Identifier
1316595275
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011506 Issued in PA
Practice address
5930 Hamilton Blvd Ste 1a
Allentown, PA 18106-9654
Phone
(484) 354-1383
Fax
(267) 573-3324
NPI assigned
Sep 3, 2019
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011506 PA Primary

Addresses

Primary practice location

5930 Hamilton Blvd Ste 1a
Allentown, PA 18106-9654

Mailing address

5930 Hamilton Blvd Ste 1a
Allentown, PA 18106-9654
Phone (484) 354-1383

Other practice location 1

6690 Hauser Road
Building O apartment 201
Macungie, PA 18062
Phone (484) 354-1383

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC011506PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pain 2 Performance LLC CurrentSince Oct 23, 2022 Accepting new patients

Locations

5930 Hamilton Blvd
Ste 1A
Allentown, PA 18106
Phone (484) 354-1383

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1316595275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 HAMILTON BLVD STE 1A",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069654",
            "telephone_number": "484-354-1383",
            "fax_number": "267-573-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 HAMILTON BLVD STE 1A",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069654",
            "telephone_number": "484-354-1383",
            "fax_number": "267-573-3324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6690 Hauser Road",
            "address_2": "Building O apartment 201",
            "address_purpose": "LOCATION",
            "city": "Macungie",
            "state": "PA",
            "postal_code": "18062",
            "country_code": "US",
            "telephone_number": "484-354-1383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUGAN",
        "first_name": "JESSE",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-03",
        "last_updated": "2022-10-20",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.