Diana M Ledoux, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00177600 Issued in NJ

Practice address

6717 Atlantic Ave
Ventnor City, NJ 08406-2621

Phone

(609) 822-1227

Fax

(609) 823-2806

NPI assigned

Nov 16, 2011

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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.

• Atlantic County Family Spine Rehab

  • Physical Therapist
  • Galloway, NJ
  • NPI 1710027594

  Chiropractor

  Medicare reassignment NPD
• Sicklerville Chiropractic

  • Physical Therapy Clinic/Center
  • Sicklerville, NJ
  • NPI 1093877904
  Medicare reassignment NPD
• Sherman Chiropractic Holistic Health Center

  • Health Service Clinic/Center
  • Ventnor City, NJ
  • NPI 1881991909
  NPD (past)

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1902173149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 E BAY AVE",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052473",
            "telephone_number": "732-600-4015",
            "fax_number": "609-698-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 ATLANTIC AVE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084062621",
            "telephone_number": "609-822-1227",
            "fax_number": "609-823-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDOUX",
        "first_name": "DIANA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00177600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Rachel Jerud, DR
• Taylor Johnson, LSW, LCADC
• John F Kasper, D.O.
• Ian Koch, MS, LCADC, CAS
• Erica Lee Lapid, MS, LPC, LCADC, NCCP
• Legend Dental LLC
• Alexa Leone
• Robert L Lipshutz, DO
• Love Life Food LLC
• Jessica Lucchio, PT, DPT

• Chiropractor in Ventnor City, NJ
• Providers in Ventnor City, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.