Individual provider Active NPI

Jennifer Leist, D.C.

  • Chiropractor
  • Dubuque, IA
National Provider Identifier
1346647823
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
076181 Issued in IA
Practice address
998 Fremont Ave
Suite L1
Dubuque, IA 52003-0300
Phone
(563) 556-6921
Fax
(563) 556-6923
NPI assigned
Nov 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 076181 IA Primary

Addresses

Primary practice location

998 Fremont Ave
Suite L1
Dubuque, IA 52003-0300

Mailing address

998 Fremont Ave
Suite L1
Dubuque, IA 52003-0300
Phone (563) 556-6921

Other names 1

  • Dr. Jennifer Leist Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150413000857 IA Practitioner - Chiropractic 2062730518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Hinderman Chiropractic Inc.Group PAC ID 4981789559, 2 clinicians

Practice addresses (Care Compare)

998 Fremont Ave
L1
Dubuque, IA 52003-0300
Phone (563) 556-6921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hinderman Chiropractic Inc. CurrentSince Mar 4, 2015 Accepting new patients

Locations

998 Fremont Ave
Ste L1
Dubuque, IA 52003
Phone (563) 556-6921

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1346647823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 FREMONT AVE",
            "address_2": "SUITE L1",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520030300",
            "telephone_number": "563-556-6921",
            "fax_number": "563-556-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 FREMONT AVE",
            "address_2": "SUITE L1",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520030300",
            "telephone_number": "563-556-6921",
            "fax_number": "563-556-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIST",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "076181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LEIST",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.