Active NPI
Joseph Austin Palmer, D.C.
- Chiropractor
- Fredericksburg, TX
National Provider Identifier
1720414253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13984
- 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, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190306002888 | TX | Practitioner - Chiropractic | 2466686316 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 10956 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cobb Chiropractic, LLC | Chiropractor | Current | 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.
-
- Chiropractor
- Fredericksburg, TX
- NPI 1134692817
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.