Individual provider Active NPI

Joseph Austin Palmer, D.C.

  • Chiropractor
  • Fredericksburg, TX
National Provider Identifier
1720414253
Registry record updated Jan 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13984 Issued in TX
Practice address
905 S Adams St
Fredericksburg, TX 78624-4509
Phone
(830) 992-3221
Fax
(830) 992-3212
NPI assigned
Sep 16, 2013
Last updated
Jan 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 10956 FL
Chiropractor 111N00000X 13984 TX Primary

Addresses

Primary practice location

905 S Adams St
Fredericksburg, TX 78624-4509

Mailing address

905 S Adams St
Fredericksburg, TX 78624-4509
Phone (830) 992-3221

Other practice location 1

1148 John Sims Pkwy E
Niceville, FL 32578-2204
Phone (850) 420-5556

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190306002888 TX Practitioner - Chiropractic 2466686316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 10956FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cobb Chiropractic, LLC Chiropractor CurrentSince Jan 2, 2019 Accepting new patients

Locations

905 S Adams St
Fredericksburg, TX 78624
Phone (830) 992-3221

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546732800000",
    "number": "1720414253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 S ADAMS ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244509",
            "telephone_number": "830-992-3221",
            "fax_number": "830-992-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 S ADAMS ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244509",
            "telephone_number": "830-992-3221",
            "fax_number": "830-992-3212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1148 John Sims Pkwy E",
            "address_purpose": "LOCATION",
            "city": "Niceville",
            "state": "FL",
            "postal_code": "325782204",
            "country_code": "US",
            "telephone_number": "850-420-5556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "JOSEPH",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-16",
        "last_updated": "2019-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10956",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2019; 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.

Verify at the official NPI Registry.