Individual provider Active NPI

Joel D. Feeman, D.C.

  • Chiropractor
  • New Haven, IN
National Provider Identifier
1265441901
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001976A Issued in IN
Practice address
725 Broadway St
Suite B
New Haven, IN 46774-1672
Phone
(260) 749-1364
Fax
(260) 749-8694
NPI assigned
Aug 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001976A IN Primary

Addresses

Primary practice location

725 Broadway St
Suite B
New Haven, IN 46774-1672

Mailing address

725 Broadway St
Suite B
New Haven, IN 46774-1672
Phone (260) 749-1364

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

State licenses

LicenseStateTypeSpecialty
08001976AINMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265441901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 BROADWAY ST",
            "address_2": "SUITE B",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467741672",
            "telephone_number": "260-749-1364",
            "fax_number": "260-749-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 BROADWAY ST",
            "address_2": "SUITE B",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467741672",
            "telephone_number": "260-749-1364",
            "fax_number": "260-749-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEEMAN",
        "first_name": "JOEL",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001976A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, IN

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.