Jenifer Dewald Leber, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC007206L Issued in PA

Practice address

3501 Montlimar Plaza Dr
Mobile, AL 36609

Phone

(251) 445-2295

NPI assigned

Oct 26, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, AL2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

New York Chiropractic College, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jenifer Dewald Leber LLCGroup PAC ID 5890047831, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Jenifer Dewald Leber LLC

  • Chiropractor
  • Mobile, AL
  • NPI 1487131652

  AL

  Medicare reassignment Care Compare group Authorized official
• Williamsport Wellness Center Inc.

  • Chiropractor
  • Williamsport, PA
  • NPI 1205584232
  NPD

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1831189331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 W 4TH ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015664",
            "telephone_number": "570-322-1776",
            "fax_number": "570-322-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 MONTLIMAR PLAZA DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36609",
            "telephone_number": "251-445-2295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1961 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177015664",
            "country_code": "US",
            "telephone_number": "570-322-1776",
            "fax_number": "570-322-1774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBER",
        "first_name": "JENIFER",
        "middle_name": "DEWALD",
        "name_prefix": "Ms.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007206L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017404480002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert James Layzod, LPC
• John Jeffrey Lazarchick, MD
• Krystel Lazzari, CRNP
• Thien Daisy Le-Nguyen
• Anita Lebatard, CRNP
• Christopher John Lecomte, PHARM.D.
• Jennifer Ledoux
• John Francis Ledoux, M.D.
• Robert Ledoux
• Hae Nah Lee Chung, M.D.

• All providers in Mobile, AL
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.