Active NPI
Jared Friebel, DC, BS
- Chiropractor
- Marion, OH
National Provider Identifier
1558028704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-05166
- Practice address
- 136 W Center St
Marion, OH 43302-3704 - Phone
- (740) 751-6380
- Fax
- (740) 751-4866
- NPI assigned
- Nov 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-05166 | OH | Primary |
| Chiropractor | 111N00000X | CHIR010659 | GA |
Addresses
Primary practice location
136 W Center St
Marion, OH 43302-3704
Mailing address
26 Hoffman Ave
Mansfield, OH 44906-3002
Phone (567) 303-5524
Other practice location 1
1982 Main St E
Ste D
Snellville, GA 30078-6461
Phone (770) 979-5125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR010659 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center Street Community Clinic, Inc | Multi-Specialty | Current | Accepting new patients |
| Center Street Community Clinic Inc | Multi-Specialty | Current | Accepting new patients |
Locations
136 W Center St
Marion, OH 43302
Phone (740) 751-4531
76 S Main St
Mount Gilead, OH 43338
Phone (419) 751-9010
Interoperability endpoints
- friebel.jared.p1@direct.centerstreetclinic.nextgenshare.com
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Marion, OH
- NPI 1780984211
Multi-Specialty
-
- Multi-Specialty Clinic/Center
- Marion, OH
- NPI 1609657766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651104000000",
"number": "1558028704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 HOFFMAN AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449063002",
"telephone_number": "567-303-5524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 W CENTER ST",
"city": "MARION",
"state": "OH",
"postal_code": "433023704",
"telephone_number": "740-751-6380",
"fax_number": "740-751-4866"
}
],
"practiceLocations": [
{
"address_1": "1982 Main St E",
"address_2": "Ste D",
"address_purpose": "LOCATION",
"city": "Snellville",
"state": "GA",
"postal_code": "300786461",
"country_code": "US",
"telephone_number": "770-979-5125",
"fax_number": "770-979-5155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRIEBEL",
"first_name": "JARED",
"name_prefix": "Dr.",
"credential": "DC, BS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-23",
"last_updated": "2022-04-28",
"certification_date": "2022-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OH",
"license": "DC-05166",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR010659",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.