Derek Farmen

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4936 Issued in NC

Practice address

10550 Independence Pointe Pkwy Ste 100
Matthews, NC 28105-2691

Phone

(704) 849-9393

Fax

(704) 845-8589

NPI assigned

May 10, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Balanced Body Center

  • Internist Chiropractor
  • Matthews, NC
  • NPI 1184837684
  Medicare reassignment NPD

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1982193405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 INDEPENDENCE POINTE PKWY STE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052691",
            "telephone_number": "704-849-9393",
            "fax_number": "704-845-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 INDEPENDENCE POINTE PKWY STE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052691",
            "telephone_number": "704-849-9393",
            "fax_number": "704-845-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMEN",
        "first_name": "DEREK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Manion Evangelista, PA-C
• Everest Chiropractic and Wellness, PA
• Donna L. Everett, PTA
• Shelley Jane Everts, FNP
• Stephen James Ezzo, M.D,
• Edith Ann Farr, APRN
• Sandra R Farrelly, RN
• Olukayode Fasuba
• Zayd Fattah
• Jessica Lynn Faulk

• Chiropractor in Matthews, NC
• Providers in Matthews, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.