Active NPI
David R Fedesna, D.C.
- Chiropractor
- Austin, TX
National Provider Identifier
1679615520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4227TX
- Practice address
- 8740 N Lamar Blvd
Austin, TX 78753-5440 - Phone
- (512) 835-1182
- Fax
- (512) 835-1888
- NPI assigned
- Feb 13, 2007
- 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 | 4227TX | TX | Primary |
Addresses
Primary practice location
8740 N Lamar Blvd
Austin, TX 78753-5440
Mailing address
8740 N Lamar Blvd.
Austin, TX 78753-5440
Phone (512) 835-1182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090210000301 | TX | Practitioner - Chiropractic | 6901961838 | Practice locations: Austin, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5541 McNeil Dr
Austin, TX 78729-7000
Phone (512) 835-1182
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4227TX | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fedesna Chiropractic | Chiropractor | Past | Accepting new patients |
| Fedesna Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Austin, TX
- NPI 1851707699
-
- Chiropractor
- Austin, TX
- NPI 1174773634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679615520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8740 N LAMAR BLVD.",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787535440",
"telephone_number": "512-835-1182",
"fax_number": "512-835-1888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8740 N LAMAR BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787535440",
"telephone_number": "512-835-1182",
"fax_number": "512-835-1888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDESNA",
"first_name": "DAVID",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "4227TX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.