Organization Active NPI

Fiegel Chiropractic & Wellness Clinic PC

  • Chiropractor
  • Moscow, ID
National Provider Identifier
1942778063
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FIEGEL CHIROPRACTIC & WELLNESS CLINIC PC
Practice address
102 S Washington St
Moscow, ID 83843-2842
Phone
(509) 330-2018
Fax
(208) 882-0396
NPI assigned
Nov 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Authorized official

Name
George E Fiegel, DCNPI 1265767347
Title
Owner
Phone
(208) 882-3012

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

102 S Washington St
Moscow, ID 83843-2842

Mailing address

102 S Washington St
Moscow, ID 83843-2842
Phone (509) 330-2018

Other identifiers 1

IdentifierTypeStateIssuer
1265767347OtherNATIONAL PROVIDER IDENTIFICATION

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190205001300 ID Part B Supplier - Clinic/Group Practice 0143568865 Receives reassigned benefits from 2 practitioners
Practice locations: Moscow, ID

National Provider Directory

National Provider Directory

Locations

102 S Washington St
Moscow, ID 83843
Phone (208) 882-3012

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1942778063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S WASHINGTON ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432842",
            "telephone_number": "509-330-2018",
            "fax_number": "208-882-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S WASHINGTON ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432842",
            "telephone_number": "509-330-2018",
            "fax_number": "208-882-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIEGEL CHIROPRACTIC & WELLNESS CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "FIEGEL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-882-3012",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFICATION",
            "identifier": "1265767347",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.