Organization Active NPI

Jena Friedel DC PC

  • Chiropractor
  • Hillsborough, NC
National Provider Identifier
1346577038
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3125 Issued in NC
Legal business name
JENA FRIEDEL DC PC
Practice address
410 Millstone Dr
Hillsborough, NC 27278-8778
Phone
(919) 643-2273
Fax
(919) 643-2272
NPI assigned
Nov 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Authorized official

Name
Dr. Jena Friedel, DCNPI 1649291709
Title
Owner/Chiropractor
Phone
(919) 643-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3125 NC Primary

Addresses

Primary practice location

410 Millstone Dr
Hillsborough, NC 27278-8778

Mailing address

410 Millstone Dr
Hillsborough, NC 27278-8778
Phone (919) 643-2273

Other practice location 1

109 Millstone Dr
Suite B
Hillsborough, NC 27278-8642
Phone (919) 643-2273

Other identifiers 1

IdentifierTypeStateIssuer
085NHOtherNCBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Hillsborough Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100107000737 NC Part B Supplier - Clinic/Group Practice 0143361584 Receives reassigned benefits from 1 practitioner
Practice locations: Hillsborough, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1346577038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MILLSTONE DR",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272788778",
            "telephone_number": "919-643-2273",
            "fax_number": "919-643-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MILLSTONE DR",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272788778",
            "telephone_number": "919-643-2273",
            "fax_number": "919-643-2272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Millstone Dr",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NC",
            "postal_code": "272788642",
            "country_code": "US",
            "telephone_number": "919-643-2273",
            "fax_number": "919-643-2272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JENA FRIEDEL DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "FRIEDEL",
        "authorized_official_first_name": "JENA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "919-643-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "085NH",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hillsborough",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Hillsborough",
            "address_1": "410 Millstone Dr",
            "city": "Hillsborough",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272788778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hillsborough, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.