Jamie Paternoster, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009066 Issued in MI

Practice address

20742 Hall Rd
Clinton TWP, MI 48038-1537

Phone

(586) 468-4461

Fax

(586) 468-3636

NPI assigned

Mar 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jeffrey a Conn DC PC

  • Chiropractor
  • Clinton TWP, MI
  • NPI 1417071655
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598899726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20742 HALL RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381537",
            "telephone_number": "586-468-4461",
            "fax_number": "586-468-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20742 HALL RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381537",
            "telephone_number": "586-468-4461",
            "fax_number": "586-468-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATERNOSTER",
        "first_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.