Individual provider Active NPI

Joseph S Ferezy, D.C.

  • Neurology Chiropractor
  • Waukee, IA
National Provider Identifier
1225011174
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
A05676 Issued in IA
Practice address
1440 Hannah LN
Waukee, IA 50263-8653
Phone
(515) 635-0975
Fax
(515) 978-6198
NPI assigned
Nov 23, 2005
Last updated
Dec 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X A05676 IA Primary

Addresses

Primary practice location

1440 Hannah LN
Waukee, IA 50263-8653

Mailing address

1440 Hannah LN
Waukee, IA 50263-8653
Phone (515) 635-0975

Other identifiers 1

IdentifierTypeStateIssuer
42-1400619OtherIATAX ID

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ann R. Borseth, P.C. PastSince Sep 26, 2016 Accepting new patients
Firm Foundation Chiropractic LLC Past Accepting new patients
Ann R Borseth PLC PastSince Jun 29, 2025 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1225011174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 HANNAH LN",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638653",
            "telephone_number": "515-635-0975",
            "fax_number": "515-978-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 HANNAH LN",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638653",
            "telephone_number": "515-635-0975",
            "fax_number": "515-978-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEREZY",
        "first_name": "JOSEPH",
        "middle_name": "S",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "IA",
            "license": "A05676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "42-1400619",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukee, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.