DAVID LEE FAIRBANKS (NPI# 1487702254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487702254 |
| Entity Type | Individual |
| Full Name | DAVID LEE FAIRBANKS |
| Credential | D.C. |
| Practice Address |
510 S 9th St Gladstone MI 49837-1613 |
| Practice Telephone | 9064281679 |
| Practice Fax Number | 9064284643 |
| Mailing Telephone | 9064281679 |
| Mailing Fax Number | 9064284643 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2014-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301005132 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4356207 | 05 | |
| MI | INDIVIDUAL BCBS # | 950B15004 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922355833 | David L Fairbanks | Pharmacist | 2860 Baker Blvd, Eugene, OR 97403-1628 | 2012-08-09 |
| 1124269766 | David Nathaniel Fairbanks | Otolaryngology | 6600 Bradley Blvd., Bethesda, MD 20817-3043 | 2009-03-11 |
| 1700989969 | David W Fairbanks | Emergency Medicine | 1055 N 500 W, Suite 205, Provo, UT 84604-3305 | 2006-09-06 |
| Street Address |
510 S 9TH ST |
| City | GLADSTONE |
| State | MI |
| Zip Code | 49837-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285782052 | Margo Irene Fairbanks | Chiropractor | 510 S 9th St, Gladstone, MI 49837-1613 | 2007-01-08 |
| 1760530430 | Fairbanks Family Chiropractic Inc | Chiropractor | 510 S 9th St, Gladstone, MI 49837-1613 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386140796 | Jenna R Sanderson | Counselor | 2655 Ashmun Street, Sault Ste Marie, MI 49837 | 2018-04-04 |
| 1689995854 | Heather E Demay | Physical Therapist | 2001 Minneapolis Ave., Suite C, Gladstone, MI 49837 | 2010-06-22 |
| 1437273877 | Northwoods Rehabilitation Inc. | Clinic/Center | 2001 Minneapolis Ave Suite C, Gladstone, MI 49837 | 2007-03-19 |
| 1568523850 | Daniel John Howes | Physical Therapist | 116 N 9th Ste, Ste C, Gladstone, MI 49837 | 2006-12-12 |
| 1356359095 | Tiffany L Molinari | Physician Assistant | 2001 Minneapolis Ave, Suite D, Gladstone, MI 49837 | 2006-08-04 |
| 1598852865 | John Wurth Skellenger | Dentist | 1103 Delta Ave, Gladstone, MI 49837-0167 | 2006-10-06 |
| 1750805727 | Kayela S Kuehl | Nurse Practitioner | 145 4th Ave N, Gladstone, MI 49837-1054 | 2017-08-01 |
| 1518093871 | Adult Family & Group Counseling Pllc | Social Worker | 1920 Lake Shore Dr, Memorial United Methodist Church Offices, Gladstone, MI 49837-1249 | 2007-02-23 |
| 1548651037 | Patricia Maynarich | Massage Therapist | 1302 Michigan Ave, Gladstone, MI 49837-1320 | 2015-02-05 |
| 1003277583 | Abigail Flaminio | Specialist/Technologist | 1110 Minnesota Ave, Gladstone, MI 49837-1402 | 2016-03-11 |
| Find all providers in zip 49837 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568959039 | Spinal Health Center LLC | Chiropractor | 7249 N Oak Trfy, Gladstone, MO 64118-1852 | 2018-04-19 |
| 1508006537 | Brad Marshal Vollmer | Chiropractor | 685 Portland Ave, Gladstone, OR 97027-2117 | 2009-03-04 |
| 1841437431 | John Murray | Chiropractor | 7 S 10th St, Gladstone, MI 49837-1525 | 2009-01-19 |
| 1467626853 | Patrick Dean Johnson | Chiropractor | 2610 4th Ave W, Gladstone, MI 49837-2107 | 2008-04-16 |
| 1467657585 | James S Waddell Dc PC | Chiropractor | 6716 N Oak Trafficway, Gladstone, MO 64118-3345 | 2007-06-19 |
| 1952527228 | Gary David Saalfeld | Chiropractor | 295 Portland Ave, Gladstone, OR 97027-2448 | 2007-04-17 |
| 1093869562 | Jason Schlenker | Chiropractor | 35 82nd Dr, Gladstone, OR 97027-2549 | 2007-01-22 |
| 1871654848 | Richard M. Steffen | Chiropractor | 6002 A Ne Antioch Road, Gladstone, MO 64119 | 2006-12-13 |
| 1831281732 | Bradley D Clunes | Chiropractor | 130 W Clarendon St, Chiropractic Care, Gladstone, OR 97027-2335 | 2006-09-28 |
| 1144331836 | Michael G Waddell | Chiropractor | 7261 N Oak Trfy, Gladstone, MO 64118-1852 | 2006-08-31 |
| Find all providers in GLADSTONE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.