Individual provider Active NPI

Jeffrey J Faimon, D.C.

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1871708693
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1315 Issued in NE
Practice address
4979 S 155TH St
Omaha, NE 68137
Phone
(402) 884-5599
Fax
(402) 884-7975
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1315 NE Primary

Addresses

Primary practice location

4979 S 155TH St
Omaha, NE 68137

Mailing address

4979 S 155TH St
Omaha, NE 68137-5007
Phone (402) 884-5599

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100626000384 NE Practitioner - Chiropractic 9133250681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15330 Weir St
Omaha, NE 68137-5005
Phone (402) 884-5599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1315NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
J F D C Inc Chiropractor CurrentSince Sep 22, 2003 Accepting new patients
Steven M. Timmer D.C., P.C. Chiropractor PastSince Oct 30, 2001 Accepting new patients

Locations

4979 S 155th St
Omaha, NE 68137
Phone (402) 884-5599

15330 Weir St
Omaha, NE 68137
Phone (402) 884-5599

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1871708693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4979 S 155TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681375007",
            "telephone_number": "402-884-5599",
            "fax_number": "402-884-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4979 S 155TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68137",
            "telephone_number": "402-884-5599",
            "fax_number": "402-884-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIMON",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.