Individual provider Active NPI

Edward Farinelli Jr., D.C.

  • Rehabilitation Chiropractor
  • Fort Collins, CO
National Provider Identifier
1063672756
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
1868 Issued in CO
Practice address
601 E Swallow Rd
Fort Collins, CO 80525-2274
Phone
(970) 266-1000
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 1868 CO Primary

Addresses

Primary practice location

601 E Swallow Rd
Fort Collins, CO 80525-2274

Mailing address

601 E Swallow Rd
Fort Collins, CO 80525-2274
Phone (970) 266-1000

Other identifiers 1

IdentifierTypeStateIssuer
75-2995760OtherTID

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

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1063672756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E SWALLOW RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252274",
            "telephone_number": "970-266-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E SWALLOW RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252274",
            "telephone_number": "970-266-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARINELLI",
        "first_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CO",
            "license": "1868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TID",
            "identifier": "75-2995760",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.