Joel D Favreau, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3260 Issued in MA

Practice address

201 Broadway
Cambridge, MA 02139-1955

Phone

(781) 422-1012

NPI assigned

Sep 24, 2009

Sex

Male

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 MA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canton Dale Chiropractic, Inc.Group PAC ID 7113051582, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Canton Dale Chiropractic, Inc.

  • Chiropractor
  • Canton, MA
  • NPI 1841516796
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265414400000",
    "number": "1215261128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BROADWAY",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391955",
            "telephone_number": "781-422-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BROADWAY",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391955",
            "telephone_number": "781-422-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVREAU",
        "first_name": "JOEL",
        "middle_name": "D",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-24",
        "last_updated": "2010-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuelle Jean Farrell, LCSW
• Ashley Farrington, M.D.
• Lauren Fatovic, LICSW
• Catherine Janet Faulkner, PA
• Jessica Anne Faust, LMSW
• Karim Fawaz
• Fatima Fayad, RD, LDN
• Stella Fayer, P.T.
• FD Farah LLC
• Fearey Psychological Services LLC

• Chiropractor in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2010; 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.