Individual provider Active NPI

Joseph F Ferstl, DC DABCO

  • Orthopedic Chiropractor
  • Elgin, IL
National Provider Identifier
1316940430
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
038-004455 Issued in IL
Practice address
1557 Weatherstone LN
Elgin, IL 60123-2019
Phone
(847) 741-3355
Fax
(847) 741-3597
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 038-004455 IL Primary

Addresses

Primary practice location

1557 Weatherstone LN
Elgin, IL 60123-2019

Mailing address

1557 Weatherstone LN
Elgin, IL 60123-2019
Phone (847) 741-3355

Other identifiers 1

IdentifierTypeStateIssuer
04582056OtherILBC/BS

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
038-004455ILMDOrthopedic Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1316940430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 WEATHERSTONE LN",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232019",
            "telephone_number": "847-741-3355",
            "fax_number": "847-741-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 WEATHERSTONE LN",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232019",
            "telephone_number": "847-741-3355",
            "fax_number": "847-741-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERSTL",
        "first_name": "JOSEPH",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DC DABCO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": "038-004455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "04582056",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.