Individual provider Active NPI

Jonathan L Faubion, DC

  • Chiropractor
  • Riverton, WY
National Provider Identifier
1386792737
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
645 Issued in WY
Practice address
621 N 10TH St E
Riverton, WY 82501-2906
Phone
(307) 856-6612
Fax
(307) 856-1767
NPI assigned
Jan 8, 2007
Last updated
Feb 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 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 645 WY Primary

Addresses

Primary practice location

621 N 10TH St E
Riverton, WY 82501-2906

Mailing address

PO Box 1457
Riverton, WY 82501-0160
Phone (307) 856-6612

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050526000453 WY Practitioner - Chiropractic 1951343243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Element Chiropractic LLCGroup PAC ID 7810088721, 2 clinicians

Practice addresses (Care Compare)

910 N 8TH St W
Riverton, WY 82501-2332
Phone (307) 463-2770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
645WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Element Chiropractic LLC CurrentSince Feb 19, 2007 Accepting new patients

Locations

910 N 8th St W
Riverton, WY 82501
Phone (307) 462-2770

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1386792737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1457",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825010160",
            "telephone_number": "307-856-6612",
            "fax_number": "307-856-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N 10TH ST E",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012906",
            "telephone_number": "307-856-6612",
            "fax_number": "307-856-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUBION",
        "first_name": "JONATHAN",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, WY

Sources for this page

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