Individual provider Active NPI

Joseph Fredeerick Houde, D.C.

  • Sports Physician Chiropractor
  • Lake Forest, CA
National Provider Identifier
1487993481
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
32504 Issued in CA
Practice address
26923 Fuerte
Lake Forest, CA 92630-8149
Phone
(949) 784-0333
Fax
(949) 784-0335
NPI assigned
Feb 11, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 32504 CA Primary

Addresses

Primary practice location

26923 Fuerte
Lake Forest, CA 92630-8149

Mailing address

26923 Fuerte
Lake Forest, CA 92630-8149
Phone (949) 784-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250415001344 MA Practitioner - Chiropractic 6103182795 Reassigns benefits to 2 organizations
I20260323002925 CT Practitioner - Chiropractic 6103182795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Physician Services LLCGroup PAC ID 1456348127, 15 clinicians

Practice addresses (Care Compare)

90 Everett Ave
Chelsea, MA 02150-2311
Phone (413) 301-6019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32504CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Physician Services LLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

90 Everett Ave
Chelsea, MA 02150
Phone (413) 301-6019

779 Dudley St
Dorchester, MA 02125
Phone (413) 301-6019

171 Pine St
Holyoke, MA 01040
Phone (413) 437-7488

1200 Converse St
Ste L3
Longmeadow, MA 01106
Phone (413) 567-4200

95 Frank B Murray St
Springfield, MA 01103
Phone (413) 285-8586

95 Frank B Murray St
Unit N
Springfield, MA 01103

554 Main St
Worcester, MA 01608
Phone (413) 301-6019

Organizations & group practices 2

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": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360540800000",
    "number": "1487993481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26923 FUERTE",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308149",
            "telephone_number": "949-784-0333",
            "fax_number": "949-784-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26923 FUERTE",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308149",
            "telephone_number": "949-784-0333",
            "fax_number": "949-784-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUDE",
        "first_name": "JOSEPH",
        "middle_name": "FREDEERICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-11",
        "last_updated": "2013-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "32504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; 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.