Active NPI
Melissa Jason Feiwell, D.C.
- Chiropractor
- Santa Rosa, CA
National Provider Identifier
1720071400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 23024
- Practice address
- 1066 4TH Street Suite B
Santa Rosa, CA 95404 - Phone
- (707) 545-1650
- Fax
- (707) 545-1161
- NPI assigned
- Aug 26, 2005
- Sex
- Female
- 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 | 23024 | CA | Primary |
Addresses
Primary practice location
1066 4TH Street Suite B
Santa Rosa, CA 95404
Mailing address
1066 4TH Street Suite B
Santa Rosa, CA 95404
Phone (707) 545-1650
Other names 1
- Melissa Jason
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120307000790 | CA | Practitioner - Chiropractic | 1153580360 | Practice locations: Santa Rosa, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542758400000",
"number": "1720071400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1066 4TH STREET SUITE B",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95404",
"telephone_number": "707-545-1650",
"fax_number": "707-545-1161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1066 4TH STREET SUITE B",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95404",
"telephone_number": "707-545-1650",
"fax_number": "707-545-1161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEIWELL",
"first_name": "MELISSA",
"middle_name": "JASON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-26",
"last_updated": "2018-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "23024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "JASON",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.