Jennifer Ann Sneeuwjagt, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5591 Issued in OR

Practice address

306 Main St
Dallas, OR 97338-3305

Phone

(503) 831-4820

Fax

(888) 636-9475

NPI assigned

Nov 17, 2005

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

Other names 1

• Miss Jennifer Ann Pankonin Former name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Chiropractic First Wellness Center, LLC

  • Chiropractor
  • Dallas, OR
  • NPI 1902627029
  NPD Authorized official

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575763200000",
    "number": "1730161480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 973",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973380973",
            "telephone_number": "503-831-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 MAIN ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973383305",
            "telephone_number": "503-831-4820",
            "fax_number": "888-636-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEEUWJAGT",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PANKONIN",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shari Kathleen Slaughter, CRM
• Elizabeth Anne Sledge, M.S.
• Laura Sloan, M.S.
• Danielle J Smallwood, PSS
• Jody A Smith, BA
• Alfredo Jose Soto, M.D.
• Southwestern Polk County Rural Fire Protection District
• Sparrow Professional Development & Counseling Center
• Gina Squires
• Andrew Stark

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2019; 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.