DR. JOHN PERRY FIDLER (NPI# 1750501722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750501722 |
| Entity Type | Individual |
| Full Name | DR. JOHN PERRY FIDLER |
| Credential | DC CHIROPRACTOR |
| Practice Address |
2301 Us Hwy 105 S Boone NC 28679 |
| Practice Telephone | 8282641561 |
| Practice Fax Number | 8282641560 |
| Mailing Telephone | 8282641561 |
| Mailing Fax Number | 8282641560 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2013-04-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 200001376959 | NC | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | STATE PLAN | 08409 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164542437 | John Martin Fidler | Prosthetic/Orthotic Supplier | 26 Baltimore St, Gettysburg, PA 17325 | 2007-03-30 |
| 1851903256 | John H Fidler IIi | Physical Therapist | 633 Middlesex Tpke, Old Saybrook, CT 06475-1220 | 2020-08-18 |
| 1003867524 | John E Fidler Jr. | Dentist | 2400 Wayne Memorial Dr, Suite K, Goldsboro, NC 27534-1789 | 2006-05-12 |
| Street Address |
2301 US HWY 105 S |
| City | BOONE |
| State | NC |
| Zip Code | 28679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225301716 | Holly Winfield Klein | Speech-Language Pathologist | 2998 Broadstone Rd, Sugar Grove, NC 28679-9267 | 2012-02-15 |
| 1285777425 | Patricia Ellen Birdsong | Speech-Language Pathologist | 683 Old Us Highway 421, Sugar Grove, NC 28679-9549 | 2007-02-15 |
| 1033302666 | Birdsong Therapy Services | Speech-Language Pathologist | 683 Old Us Highway 421, Sugar Grove, NC 28679-9549 | 2007-08-27 |
| 1508135161 | Geraldine Church | Occupational Therapist | 3854 Peoria Rd, Sugar Grove, NC 28679-9591 | 2011-12-27 |
| 1598366411 | Jung Tao School of Classical Chinese Medicine | Acupuncturist | 207 Dale Adams Rd, Sugar Grove, NC 28679-9657 | 2020-11-06 |
| 1265937908 | Joanna Leigh Osmond | Social Worker | 308 Valle Meadows Trl, Sugar Grove, NC 28679-9762 | 2018-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920056 | Willow Health and Wellness | Chiropractor | 643 Greenway Rd Ste K1, Boone, NC 28607-4840 | 2020-10-21 |
| 1194332312 | Lindsay M Austin | Speech-Language Pathologist | 141 Terrace Ln Apt 1205, Boone, NC 28607-5380 | 2020-09-30 |
| 1871109363 | Audrey Stone | Counselor | 895 State Farm Rd Ste 507-2, Boone, NC 28607-4917 | 2020-09-20 |
| 1447866058 | Lanie Ann Anderson | Counselor | 648 Green Briar Rd, Boone, NC 28607-8762 | 2020-09-18 |
| 1619580594 | Shannon Mumper | Occupational Therapist | 450 New Market Blvd Ste 3, Boone, NC 28607-5501 | 2020-08-28 |
| 1295348605 | Bret Kinne | Pharmacist | 120 S Story St Ste C, Boone, IA 50036-4739 | 2020-08-25 |
| 1972113132 | Nathan Bates | Counselor | 298 Ridgewood Dr, Boone, NC 28607-6208 | 2020-08-03 |
| 1104435510 | Amelia Seaver Kellam | Speech-Language Pathologist | 135 Stratford Ln, Boone, NC 28607-6588 | 2020-07-31 |
| 1023636933 | Christina Marie Qualheim | Nurse Practitioner | 400 Shadowline Dr Ste 203, Boone, NC 28607-5022 | 2020-07-07 |
| 1619593951 | Hannah Deanne Sexton | Dietitian, Registered | 155 Falcon Trce Unit C-331, Boone, NC 28607-8313 | 2020-06-23 |
| Find all providers in BOONE | ||||
| 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 |
|---|---|---|---|---|
| 1154920056 | Willow Health and Wellness | Chiropractor | 643 Greenway Rd Ste K1, Boone, NC 28607-4840 | 2020-10-21 |
| 1457817132 | Brandi Perry-johnson | Chiropractor | 1542 Us Hwy 421 S Ste F, Boone, NC 28607-5301 | 2019-02-18 |
| 1003332305 | Marathon Chiropractic Clinic | Chiropractor | 920 W King St Ste B, Boone, NC 28607-3467 | 2017-08-17 |
| 1396268140 | Nathaniel F Khan | Chiropractor | 228 Mamie Eisenhower Ave, Boone, IA 50036-3426 | 2017-07-24 |
| 1902357320 | Innate Chiropractic - Pllc | Chiropractor | 838 State Farm Road, Ste 1, Boone, NC 28607 | 2016-10-20 |
| 1184171399 | Mark Brandon Torrie | Chiropractor | 838 State Farm Rd Ste 1, Boone, NC 28607-5364 | 2016-09-06 |
| 1578965661 | Amanda Zephyr Willow Peters | Chiropractor | 2348 Nc Highway 105, Suite 9, Boone, NC 28607 | 2014-09-19 |
| 1578814968 | Matthew Ryan Goodrich | Chiropractor | 1321 Se Marshall St, Boone, IA 50036-7519 | 2012-09-25 |
| 1023257805 | Ryan Joseph Woods | Chiropractor | 920 W King St, Suite B, Boone, NC 28607-3467 | 2009-02-18 |
| 1417195249 | Hal Neill Bullock | Chiropractor | 247 Boone Heights Dr, Boone, NC 28607-4927 | 2009-02-02 |
| Find all providers in BOONE | ||||
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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.