NPIMap

Organization Active NPI

Jenifer Dewald Leber LLC

Doing business as Corsentino Chiropractic

  • Chiropractor
  • Mobile, AL
National Provider Identifier
1487131652
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2521 Issued in AL
Legal business name
JENIFER DEWALD LEBER LLC
Doing business as
Corsentino Chiropractic
Practice address
3501 Montlimar Plaza Dr
Mobile, AL 36609-1736
Phone
(251) 445-2295
Fax
(251) 445-2299
NPI assigned
Jul 20, 2018
Last updated
Jul 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Authorized official

Name
Mrs. Jenifer Dewald Leber, D.C.NPI 1831189331
Title
Owner/D.C.
Phone
(570) 916-9123

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
Chiropractor 111N00000X 2521 AL Primary

Addresses

Primary practice location

3501 Montlimar Plaza Dr
Mobile, AL 36609-1736

Mailing address

3501 Montlimar Plaza Dr
Mobile, AL 36609-1736
Phone (251) 445-2295

Other names 1

  • CORSENTINO CHIROPRACTIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181002003811 AL Part B Supplier - Clinic/Group Practice 5890047831 Receives reassigned benefits from 3 practitioners
Practice locations: Mobile, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1487131652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 MONTLIMAR PLAZA DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091736",
            "telephone_number": "251-445-2295",
            "fax_number": "251-445-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 MONTLIMAR PLAZA DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091736",
            "telephone_number": "251-445-2295",
            "fax_number": "251-445-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENIFER DEWALD LEBER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "LEBER",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_middle_name": "DEWALD",
        "authorized_official_title_or_position": "OWNER/D.C.",
        "authorized_official_telephone_number": "570-916-9123",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORSENTINO CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.