Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1316931587 Deactivated / Inactive NPI Male Practitioner

Dr. David Eric Fellerman , DC

Chiropractor • Kingston, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Fellerman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 02, 2005
NPI Deactivation Date March 24, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. David Fellerman, DC was a registered Chiropractor practicing in Kingston, PA. Throughout an active medical career spanning 1 years, Dr. Fellerman provided care at the practice location at 183 MARKET ST until profile deactivation on 2006-03-24.

Practice Location & Contact Primary Location

Practice Address

183 Market St
Suite 201

Kingston, PA 187045444

Telephone 5707186565
Fax 5707148750
Associated Practice Facility / Clinic
🏢 Kingston Chiropractic Llc Facility NPI 1881669638

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Kingston, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.7 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
10 Specialists

Practicing in Kingston, PA (4175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License PA DC-006797-L

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
MA0162237 (PA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Herbert Fellerman , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1376648444

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location July 09, 2007

Registered at 183 MARKET ST, SUITE 201, KINGSTON, PA 187045444 (Tel: 5707186565)

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Updated Business Mailing Address July 09, 2007

Registered at 183 MARKET ST, SUITE 201, KINGSTON, PA 187045444 (Tel: 5707186565)

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Provider Name / Credentials Updated July 09, 2007

Recorded as DAVID FELLERMAN, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Chiropractor (License #DC-006797-L in PA)

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NPI Profile Reactivated April 04, 2006

Record officially reactivated for active practice on April 04, 2006

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NPI Profile Deactivated March 24, 2006

Record deactivated on March 24, 2006

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Initial NPI Registration & Enumeration September 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316931587
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2005
Last Update: July 09, 2007
Deactivation Date: March 24, 2006
Sole Proprietor: Yes

Mailing Address

183 Market St, Suite 201

Kingston, PA 187045444

Phone: 5707186565

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.