Individual provider Active NPI

Jena J Friedel, D.C.

  • Chiropractor
  • Hillsborough, NC
National Provider Identifier
1649291709
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3125 Issued in NC
Practice address
410 Millstone Dr
Hillsborough, NC 27278-8778
Phone
(919) 643-2273
Fax
(919) 643-2272
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 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 3125 NC Primary

Addresses

Primary practice location

410 Millstone Dr
Hillsborough, NC 27278-8778

Mailing address

410 Millstone Dr
Hillsborough, NC 27278-8778
Phone (919) 643-2273

Other practice location 1

109 Millstone Dr Ste B
Hillsborough, NC 27278-8704
Phone (919) 643-2273

Other identifiers 1

IdentifierTypeStateIssuer
085NHOtherNCBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Hillsborough Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050801001087 NC Practitioner - Chiropractic 6507894458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

410 Millstone Dr
Hillsborough, NC 27278-9046
Phone (919) 643-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3125NCMDGerontology Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jena Friedel DC PC Chiropractor CurrentSince Nov 1, 2009 Accepting new patients

Locations

410 Millstone Dr
Hillsborough, NC 27278
Phone (919) 260-5926

109 Millstone Dr
Ste B
Hillsborough, NC 27278
Phone (919) 643-2273

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1649291709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MILLSTONE DR",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272788778",
            "telephone_number": "919-643-2273",
            "fax_number": "919-643-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MILLSTONE DR",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272788778",
            "telephone_number": "919-643-2273",
            "fax_number": "919-643-2272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Millstone Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NC",
            "postal_code": "272788704",
            "country_code": "US",
            "telephone_number": "919-643-2273",
            "fax_number": "919-643-2272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDEL",
        "first_name": "JENA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "085NH",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hillsborough",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Hillsborough",
            "address_1": "410 Millstone Dr",
            "city": "Hillsborough",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272788778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hillsborough, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.