Kaiden Michael Fiebelkorn

Primary specialty

Educational Registered Respiratory TherapistTaxonomy code 2279E1000X

Practice address

812 University St
Pella, IA 50219-1999

Phone

(641) 628-9000

NPI assigned

Aug 21, 2019

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1285281675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W PERSHING DR",
            "city": "BROOKLYN",
            "state": "IA",
            "postal_code": "522119226",
            "telephone_number": "641-990-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 UNIVERSITY ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191999",
            "telephone_number": "641-628-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIEBELKORN",
        "first_name": "KAIDEN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279E1000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Educational",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Respiratory Therapist in Pella, IA
• Providers in Pella, IA by specialty
• Registered Respiratory Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.