Organization Active NPI

Farrell Chiropractic Center, Inc.

  • Chiropractor
  • Jericho, VT
National Provider Identifier
1841329026
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006-0000989 Issued in VT
Legal business name
FARRELL CHIROPRACTIC CENTER, INC.
Practice address
213E VT Route 15
Jericho, VT 05465-9639
Phone
(802) 899-9991
Fax
(802) 899-1772
NPI assigned
Mar 5, 2007
Last updated
Apr 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Timothy Farrell, D.C.NPI 1265592844
Title
Owner
Phone
(802) 899-9991

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 006-0000989 VT Primary

Addresses

Primary practice location

213E VT Route 15
Jericho, VT 05465-9639

Mailing address

213E VT Route 15
Jericho, VT 05465-9639
Phone (802) 899-9991

Other identifiers 1

IdentifierTypeStateIssuer
VN150201MedicaidVT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070627000242 VT Part B Supplier - Clinic/Group Practice 4789783036 Receives reassigned benefits from 2 practitioners
Practice locations: Jericho, VT

National Provider Directory

National Provider Directory

Locations

213 Vt Route 15
Jericho, VT 05465
Phone (802) 497-8725

213E Vt Route 15
Jericho, VT 05465
Phone (802) 899-9991

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": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1841329026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213E VT ROUTE 15",
            "city": "JERICHO",
            "state": "VT",
            "postal_code": "054659639",
            "telephone_number": "802-899-9991",
            "fax_number": "802-899-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213E VT ROUTE 15",
            "city": "JERICHO",
            "state": "VT",
            "postal_code": "054659639",
            "telephone_number": "802-899-9991",
            "fax_number": "802-899-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARRELL CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-899-9991",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006-0000989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VN150201",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.