Doba, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4952 Issued in MN

Legal business name

DOBA, LLC

Practice address

1158 Thomas Ave
Saint Paul, MN 55104-2165

Phone

(612) 280-6606

NPI assigned

Jun 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Sarah Keesey, D.C.NPI 1447467113

Title

Chiropractor

Phone

(612) 280-6606

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Sarah Keesey, D.C.

  • Chiropractor
  • Saint Paul, MN
  • NPI 1447467113
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1811199060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 THOMAS AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042165",
            "telephone_number": "612-280-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 THOMAS AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042165",
            "telephone_number": "612-280-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOBA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "KEESEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "SARAH",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "612-280-6606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.