Individual provider Active NPI

Jennifer Anne Davis, D.C.

  • Chiropractor
  • Hershey, PA
National Provider Identifier
1417333030
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011245 Issued in PA
Practice address
24 Northeast Dr Ste a
Hershey, PA 17033-2732
Phone
(717) 531-3411
NPI assigned
Aug 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X AJ011002 PA
Chiropractor 111N00000X DC011245 PA Primary

Addresses

Primary practice location

24 Northeast Dr Ste a
Hershey, PA 17033-2732

Mailing address

24 Northeast Dr Ste a
Hershey, PA 17033-2732
Phone (717) 531-3411

Other names 1

  • Jennifer Anne Green Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170913000741 PA Practitioner - Chiropractic 2769792639 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AJ011002PAMDChiropractor
DC011245PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Colman Center PC Chiropractor CurrentSince May 1, 2019 Accepting new patients
Hershey 1 LLC Chiropractor CurrentSince Jan 19, 2025 Accepting new patients
Hetrick Center PC Chiropractor Past Accepting new patients

Locations

845 Sir Thomas Ct
Harrisburg, PA 17109
Phone (717) 233-6791

1300 Bent Creek Blvd
Mechanicsburg, PA 17050
Phone (717) 796-2225

500 N Union St
Middletown, PA 17057
Phone (717) 944-2225

20 N Barbara St
Mount Joy, PA 17552
Phone (717) 492-0303

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1417333030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 NORTHEAST DR STE A",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332732",
            "telephone_number": "717-531-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 NORTHEAST DR STE A",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332732",
            "telephone_number": "717-531-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "AJ011002",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GREEN",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.