Active NPI
Jenna Marie Comer, DC
- Chiropractor
- Mount Airy, NC
National Provider Identifier
1780177063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4740
- Practice address
- 136 Moore Ave
Mount Airy, NC 27030-3816 - Phone
- (336) 757-6036
- NPI assigned
- Jun 11, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4740 | NC | Primary |
Addresses
Primary practice location
136 Moore Ave
Mount Airy, NC 27030-3816
Mailing address
2401 Westfield Ave
Winston Salem, NC 27103-3538
Phone (336) 341-5991
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4740 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541635200000",
"number": "1780177063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 WESTFIELD AVE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033538",
"telephone_number": "336-341-5991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 MOORE AVE",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270303816",
"telephone_number": "336-757-6036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMER",
"first_name": "JENNA",
"middle_name": "MARIE",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2018-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "4740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.