Mary Ann Penny Domm, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

27 2983 Issued in OR

Practice address

8550 SW Apple Way
Portland, OR 97225-1772

Phone

(503) 477-7222

Fax

(503) 894-9699

NPI assigned

Jun 30, 2005

Last updated

May 12, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Los Angeles, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 1

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.

• Donald W Fuegy, DC

  • Chiropractor
  • Tigard, OR
  • NPI 1366451973
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mary Ann Penny Domm

  dba JNA Chiropractic, LLC

  • Health Service Clinic/Center
  • Portland, OR
  • NPI 1396154944
  NPD Authorized official
• Aspen Chiropractic Clinic, LLC

  • Health Service Clinic/Center
  • Portland, OR
  • NPI 1578736740
  NPD (past)

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1710984141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 SW APPLE WAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251772",
            "telephone_number": "503-477-7222",
            "fax_number": "503-894-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 SW APPLE WAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251772",
            "telephone_number": "503-477-7222",
            "fax_number": "503-894-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMM",
        "first_name": "MARY ANN",
        "middle_name": "PENNY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27 2983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roman Dominguez-Soto
• Joanne Elizabeth Dominguez
• Sarah Anne Dominguez
• Christopher Anthony Dominic, DC
• Antonio Dominovic, R.T.(R)(CT)(ARRT)
• Diana Domnitei, MD
• Jordyn Domogalla
• Yolanda Clara Domond, M.D.
• Wendy Osorio Domreis, PNP
• Reanna Dona-Termine, MD, PHD

• Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.