Active NPI
J F D C Inc
- Chiropractor
- Omaha, NE
National Provider Identifier
1992772420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1315
- Legal business name
- J F D C INC
- Practice address
- 4979 S 155TH St
Omaha, NE 68137 - Phone
- (402) 884-5599
- Fax
- (402) 884-7975
- NPI assigned
- Mar 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey J Faimon
- Title
- Owner/Operator
- Phone
- (402) 884-5599
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025042000 | Medicaid | NE | |
| 7272476 | Other | NE | AETNA |
| D09553 | Other | NE | BCBS |
| 240442 | Other | NE | MIDLANDS CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4979 S 155th St
Omaha, NE 68137
Phone (402) 884-5599
15330 Weir St
Omaha, NE 68137
Phone (402) 884-5599
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Omaha, NE
- NPI 1871708693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533600000000",
"number": "1992772420",
"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": {
"organization_name": "J F D C INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-03",
"last_updated": "2018-08-07",
"status": "A",
"authorized_official_last_name": "FAIMON",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "402-884-5599",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NE",
"license": "1315",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025042000",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7272476",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "D09553",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "240442",
"state": "NE"
}
],
"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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.