Active NPI
Donald E Freesmeier, DC
- Chiropractor
- Mattoon, IL
National Provider Identifier
1851480651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 1510 Broadway Avenue
Mattoon, IL 61938-3931 - Phone
- (217) 235-3933
- Fax
- (217) 235-3948
- NPI assigned
- Oct 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
1510 Broadway Avenue
Mattoon, IL 61938-3931
Mailing address
1510 Broadway Avenue
Mattoon, IL 61938-3931
Phone (217) 235-3933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00291072 | Other | IL | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038003522 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Donald Freesmeier LTD | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Mattoon, IL
- NPI 1720267024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193616000000",
"number": "1851480651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 BROADWAY AVENUE",
"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 AVENUE",
"city": "MATTOON",
"state": "IL",
"postal_code": "619383931",
"telephone_number": "217-235-3933",
"fax_number": "217-235-3948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREESMEIER",
"first_name": "DONALD",
"middle_name": "E",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"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 Oct 29, 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.