Individual provider Active NPI

Timothy Joseph Farrell, D.C.

  • Chiropractor
  • Jericho, VT
National Provider Identifier
1265592844
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006-0000989 Issued in VT
Practice address
213E VT Route 15
Jericho, VT 05465-9639
Phone
(802) 899-9991
Fax
(802) 899-1772
NPI assigned
Dec 12, 2006
Last updated
Apr 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006-0000989 VT Primary

Addresses

Primary practice location

213E VT Route 15
Jericho, VT 05465-9639

Mailing address

213E VT Route 15
Jericho, VT 05465-9639
Phone (802) 899-9991

Other identifiers 1

IdentifierTypeStateIssuer
OVN1502MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060419000317 VT Practitioner - Chiropractic 5092724039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Farrell Chiropractic Center, Inc.Group PAC ID 4789783036, 2 clinicians

Practice addresses (Care Compare)

213 VT Route 15
Jericho, VT 05465-9639
Phone (802) 899-9991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
006-0000989VTMDChiropractor
989VTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Farrell Chiropractic Center, Inc. Chiropractor CurrentSince Jul 1, 2007 Accepting new patients

Locations

213 Vt Route 15
Jericho, VT 05465
Phone (802) 497-8725

213 Vt Route 15
#E
Jericho, VT 05465
Phone (802) 899-9991

213E Vt Route 15
Jericho, VT 05465
Phone (802) 899-9991

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1265592844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213E VT ROUTE 15",
            "city": "JERICHO",
            "state": "VT",
            "postal_code": "054659639",
            "telephone_number": "802-899-9991",
            "fax_number": "802-899-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213E VT ROUTE 15",
            "city": "JERICHO",
            "state": "VT",
            "postal_code": "054659639",
            "telephone_number": "802-899-9991",
            "fax_number": "802-899-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "TIMOTHY",
        "middle_name": "JOSEPH",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006-0000989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN1502",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.