Active NPI
Jasper Brock Falconer, D.C.
- Chiropractor
- Evansville, IN
National Provider Identifier
1518018712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002389A
- Practice address
- 18 N Boeke Rd
Evansville, IN 47711-6014 - Phone
- (812) 477-6200
- Fax
- (812) 477-6203
- NPI assigned
- Jan 15, 2007
- Last updated
- Jan 10, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002389A | IN | Primary |
Addresses
Primary practice location
18 N Boeke Rd
Evansville, IN 47711-6014
Mailing address
18 N Boeke Rd
Evansville, IN 47711-6014
Phone (812) 477-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18 N Boeke Rd
Evansville, IN 47711-6014
Phone (812) 477-6200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08002389A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back in Balance Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Brentwood Family Chiropractic Center, LLC | Chiropractor | Past | Accepting new patients |
| Precision Physical Therapy Inc | Past | Accepting new patients |
Locations
18 N Boeke Rd
Evansville, IN 47711
Phone (812) 477-6200
Organizations & group practices 3
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.
-
- Chiropractor
- Evansville, IN
- NPI 1073818738
-
- Chiropractor
- Saint Louis, MO
- NPI 1225257462
-
- Physical Therapist
- Clearwater, FL
- NPI 1932149267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294617600000",
"number": "1518018712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 N BOEKE RD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477116014",
"telephone_number": "812-477-6200",
"fax_number": "812-477-6203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 N BOEKE RD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477116014",
"telephone_number": "812-477-6200",
"fax_number": "812-477-6203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALCONER",
"first_name": "JASPER",
"middle_name": "BROCK",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2011-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002389A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.