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DR. MARY ANN PENNY DOMM D.C.
NPI 1710984141
Chiropractor in Portland, OR

Active since June 30, 2005Accepts Medicare Assignment
8550 SW APPLE WAY, PORTLAND, OR 97225(503) 477-7222(503) 894-9699 Get Directions Write a Review

NPPES record last updated: May 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Ann Penny Domm D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY ANN PENNY DOMM D.C. (NPI 1710984141) is an individual chiropractor in Portland, Oregon, licensed in Oregon (27 2983) and active in the NPI registry since June 2005. She is a graduate of Cleveland Chiropractic College - Los Angeles (1994).

NPPES Registry Identity

NPI1710984141
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. MARY ANN PENNY DOMMCredential: D.C.
Location Address8550 SW APPLE WAYPortland, OR 97225-1772
Mailing Address8550 Sw Apple WayPortland, OR 97225-1772 · (503) 477-7222 · Fax (503) 894-9699
Phone(503) 477-7222
Fax(503) 894-9699
Sole ProprietorYes
Medical School CMSCleveland Chiropractic College - Los AngelesGraduated 1994
Enumeration DateJune 30, 2005
Last NPPES UpdateMay 12, 2014
✔ NPI 1710984141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 27 2983
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
8550 SW APPLE WAY, Portland, OR 97225
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Other Identifiers 2

Medicare UPINU62575OR
Medicare ID-Type UnspecifiedR0000QGHHKOR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mary Ann Penny Domm D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618938895
PECOS Enrollment IDI20041021000088

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ROBERT WRIGHT LMT
Massage Therapist
8550 SW APPLE WAY
PORTLAND, OR 97225
Washington County (978) 477-7222
MARY ANN PENNY DOMM
Clinic/Center (Health Service)
8550 SW APPLE WAY
PORTLAND, OR 97225
Washington County (503) 477-7222
PENNY HARRISON LMT
Massage Therapist
8550 SW APPLE WAY
PORTLAND, OR 97225
Washington County (503) 523-7836
SARAH SNYDER
Acupuncturist
8550 SW APPLE WAY
PORTLAND, OR 97225
Washington County (503) 477-7222
WHITNEY JO TUXBURY LAC
Acupuncturist
8550 SW APPLE WAY
PORTLAND, OR 97225
Washington County (503) 477-7222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Ann Domm's NPI number?

The NPI number for Mary Ann Domm is 1710984141. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Mary Ann Domm located?

Mary Ann Domm practices at 8550 SW Apple Way, Portland, OR 97225. The listed phone number is (503) 477-7222.

What is Mary Ann Domm's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Mary Ann Domm enrolled in Medicare?

Yes. Mary Ann Domm is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Ann Domm accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Mary Ann Domm as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Ann Domm was last updated on May 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.