Organization Active NPI

Dr. Donald Freesmeier LTD

  • Chiropractor
  • Mattoon, IL
National Provider Identifier
1720267024
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR. DONALD FREESMEIER LTD
Practice address
1510 Broadway Ave
Mattoon, IL 61938-3931
Phone
(217) 235-3933
Fax
(217) 235-3948
NPI assigned
Nov 2, 2007
Last updated
Nov 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Dr. Donald E. Freesmeier, DCNPI 1851480651
Title
Owner
Phone
(217) 235-3933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1510 Broadway Ave
Mattoon, IL 61938-3931

Mailing address

1510 Broadway Ave
Mattoon, IL 61938-3931
Phone (217) 235-3933

Other identifiers 1

IdentifierTypeStateIssuer
P00291072OtherILRR MEDICARE

National Provider Directory

National Provider Directory

Locations

1510 Broadway Ave
Mattoon, IL 61938
Phone (217) 235-3100

616 Charleston Ave
Mattoon, IL 61938
Phone (217) 235-3933

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1720267024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 BROADWAY AVE",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619383931",
            "telephone_number": "217-235-3933",
            "fax_number": "217-235-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 BROADWAY AVE",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619383931",
            "telephone_number": "217-235-3933",
            "fax_number": "217-235-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DONALD FREESMEIER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "FREESMEIER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-235-3933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00291072",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattoon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.