Active NPI
Joseph S Ferezy, D.C.
- Neurology Chiropractor
- Waukee, IA
National Provider Identifier
1225011174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- A05676
- 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, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42-1400619 | Other | IA | TAX 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ann R. Borseth, P.C. | Past | Accepting new patients | |
| Firm Foundation Chiropractic LLC | Past | Accepting new patients | |
| Ann R Borseth PLC | Past | 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.
-
- Chiropractor
- Windsor Heights, IA
- NPI 1376936427
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.