Individual provider Active NPI

Jenny Lynn Dubisar, DC, FICPA

  • Chiropractor
  • Chandler, AZ
National Provider Identifier
1609170059
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7731 Issued in AZ
Practice address
2671 E Augusta Ave
Chandler, AZ 85249-4878
Phone
(480) 200-6679
NPI assigned
Dec 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7731 AZ Primary

Addresses

Primary practice location

2671 E Augusta Ave
Chandler, AZ 85249-4878

Mailing address

2671 E Augusta Ave
Chandler, AZ 85249-4878
Phone (480) 200-6679

Other names 1

  • Jenny Brost Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1609170059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 E AUGUSTA AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852494878",
            "telephone_number": "480-200-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2671 E AUGUSTA AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852494878",
            "telephone_number": "480-200-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBISAR",
        "first_name": "JENNY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DC, FICPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "BROST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.