Active NPI
Jarred Allen Farrell, D.C.
- Chiropractor
- Princeton, IL
National Provider Identifier
1073733465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38010833
- Practice address
- 682 East Peru Street
Princeton, IL 61356 - Phone
- (815) 875-4408
- NPI assigned
- Apr 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38010833 | IL | Primary |
Addresses
Primary practice location
682 East Peru Street
Princeton, IL 61356
Mailing address
20374 Il Hwy 26
Princeton, IL 61356
Phone (815) 879-2441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
682 E Peru St
Princeton, IL 61356-1869
Phone (815) 875-4408
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38010833 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dennis a Farrell Enterprises, LTD. | Chiropractor | Current | Accepting new patients |
Interoperability endpoints
- jfarrell27@fcc0003.direct.chirotouch.md
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Farrel Chiropractic Clinic
- Chiropractor
- Princeton, IL
- NPI 1447475991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073733465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20374 IL HWY 26",
"city": "PRINCETON",
"state": "IL",
"postal_code": "61356",
"telephone_number": "815-879-2441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "682 EAST PERU STREET",
"city": "PRINCETON",
"state": "IL",
"postal_code": "61356",
"telephone_number": "815-875-4408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "JARRED",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "38010833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.