Individual provider Active NPI

Jared Marcell, D.C.

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1497295281
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4750 Issued in NC
Practice address
3950 Fairsted Dr
Apt 258
Raleigh, NC 27612-4358
Phone
(919) 909-3692
NPI assigned
Feb 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4750 NC Primary

Addresses

Primary practice location

3950 Fairsted Dr
Apt 258
Raleigh, NC 27612-4358

Mailing address

3950 Fairsted Dr
Apt 258
Raleigh, NC 27612-4358
Phone (919) 909-3692

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
4750NCMDPsychiatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1497295281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 FAIRSTED DR",
            "address_2": "APT 258",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124358",
            "telephone_number": "919-909-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 FAIRSTED DR",
            "address_2": "APT 258",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124358",
            "telephone_number": "919-909-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELL",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.