Individual provider Active NPI

Joshua Fearn, D.C.

  • Chiropractor
  • Broomfield, CO
National Provider Identifier
1639570252
Registry record updated May 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR0007378 Issued in CO
Practice address
925 Main St Ste a
Broomfield, CO 80020-1976
Phone
(303) 481-3427
NPI assigned
Sep 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR0007378 CO Primary

Addresses

Primary practice location

925 Main St Ste a
Broomfield, CO 80020-1976

Mailing address

925 Main St Ste a
Broomfield, CO 80020-1976
Phone (303) 481-3427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250110001872 CO Practitioner - Chiropractic 8527596063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

925 Main St
Suite a
Broomfield, CO 80020-1976
Phone (303) 481-3427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR0007378COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elevated Chiropractic LLC Chiropractor CurrentSince Dec 3, 2024 Accepting new patients

Locations

925 Main St
Ste A
Broomfield, CO 80020
Phone (303) 481-3427

Organizations & group practices 1

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": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619827200000",
    "number": "1639570252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 MAIN ST STE A",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201976",
            "telephone_number": "303-481-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 MAIN ST STE A",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201976",
            "telephone_number": "303-481-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEARN",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-15",
        "last_updated": "2021-05-01",
        "certification_date": "2021-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR0007378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2021; 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.