Individual provider Active NPI

Jared Friebel, DC, BS

  • Chiropractor
  • Marion, OH
National Provider Identifier
1558028704
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-05166 Issued in OH
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

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC-05166 OH Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
I20220620000883 OH Practitioner - Chiropractic 8729467972 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
CHIR010659GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Center Street Community Clinic, Inc Multi-Specialty CurrentSince Jun 1, 2022 Accepting new patients
Center Street Community Clinic Inc Multi-Specialty CurrentSince Jun 1, 2022 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.