FENTON CHIROPRACTIC PA (NPI# 1811234883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811234883 |
Entity Type | Organization |
Organization Name | FENTON CHIROPRACTIC PA |
Practice Address |
101 7th St Sw Taylorsville NC 28681-2409 |
Mailing Address |
Po Box 429 Taylorsville NC 28681-0429 |
Practice Telephone | 8286357400 |
Practice Fax Number | 8286357415 |
Mailing Telephone | 8286357400 |
Mailing Fax Number | 8286357415 |
Enumeration Date | 2013-01-11 |
Last Update Date | 2013-01-11 |
Authorized Official Name | WAYNE J FENTON (OWNER) |
Authorized Official Telephone | 8286357400 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
2041 | NC | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBS | 0822G | 01 | |
NC | HNS | 561971088 | 01 |
NC | 890822G | 05 | |
NC | ACN | EWNA78 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538172234 | Fenton Chiropractic Pa | Chiropractor | 101 7th St Sw, Taylorsville, NC 28681-2409 | 2006-08-14 |
Street Address |
101 7TH ST SW |
City | TAYLORSVILLE |
State | NC |
Zip Code | 28681-2409 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538172234 | Fenton Chiropractic Pa | Chiropractor | 101 7th St Sw, Taylorsville, NC 28681-2409 | 2006-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679137665 | Kenzi Care LLC | Assisted Living Facility | 668 Wood Rd, Taylorsville, NC 28681 | 2019-04-25 |
1831651918 | Rebecca Ann Soltysiak | Speech-Language Pathologist | 581 Hwy 16 South, Taylorsville, NC 28681 | 2019-04-05 |
1356790745 | Carolina Dental Care Centere | Dentist | 556 Nc-16, Taylorsville, NC 28681 | 2016-06-07 |
1952738999 | Changing Lives Now LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3598 North Carolina 90, Taylorsville, NC 28681 | 2013-10-05 |
1952642472 | Counseling and Support Associates, PC | Community/Behavioral Health | 121 E. Main Ave., Taylorsville, NC 28681 | 2013-03-07 |
1649550237 | Matthew Tyler Holland | Chiropractor | 92 Main Ave Drive, Taylorsville, NC 28681 | 2011-08-26 |
1811147358 | Sachi J Jhaveri-mehta | Psychologist | 630 Old Landfill Road, Taylorsville, NC 28681 | 2008-09-21 |
1033324421 | Jack T. Brinkley, D.m.d., P.a. | Dentist | 163 Main Avenue Drive, Taylorsville, NC 28681 | 2007-05-11 |
1649303579 | Comserv, Inc. | Intermediate Care Facility, Mentally Retarded | 4165 Nc Highway 127, Taylorsville, NC 28681 | 2007-03-13 |
1144381765 | Diane Gaines | Counselor | 397 3rd Avenue Sw, Taylorsville, NC 28681 | 2006-12-13 |
Find all providers in zip 28681 |
Taxonomy Code | 111NS0005X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
Specialization | Sports Physician |
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396159885 | Tyler Leroy Nelson | Chiropractor | 1951 W 4700 S Ste 2, Taylorsville, UT 84129-1108 | 2014-06-12 |
1255746400 | Camp4 Human Performance | Chiropractor | 1951 W 4700 S Ste 2, Taylorsville, UT 84129-1108 | 2014-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811360803 | Ihm Sports Medicine | Chiropractor | 5490 S Miami Blvd Apt 207, Durham, NC 27703-8284 | 2015-11-12 |
1043626088 | Swiss Alliance, Inc. | Chiropractor | 976 Martin Luther King Jr Blvd Ste 100, Chapel Hill, NC 27514-2654 | 2014-07-10 |
1770728032 | Pierre-yves Philippe Dubois | Chiropractor | 976 Martin Luther King Jr Blvd Ste 101, Chapel Hill, NC 27514-2654 | 2008-12-15 |
1639350556 | Charles P Hecht Dc Pa | Chiropractor | 1812 Martin Luther King Jr Blvd, Chapel Hill, NC 27514-7415 | 2007-11-20 |
1710170808 | Eric David Bryant | Chiropractor | 8041 Corporate Center Drive, Suite 100, Charlotte, NC 28226-4553 | 2007-08-22 |
1801959580 | Gotro Chiropractic of Indian Trail | Chiropractor | 13803 Independence Blvd Ste E, Indian Trail, NC 28079-7680 | 2006-12-18 |
1629137369 | Matthew Brian Horvath | Chiropractor | 112 N Winstead Ave, Rocky Mount, NC 27804-2235 | 2006-12-08 |
1184783367 | Arnie Wynn | Chiropractor | 610 E 7th St, Suite 2a, Charlotte, NC 28202-2923 | 2006-12-06 |
1891862025 | Bonnie Smithyman Baird | Chiropractor | 320 N Judd Prkwy Ne, Ste 102, Fuquay Varina, NC 27526 | 2006-11-30 |
1417026774 | Thomas Raleigh Forrest | Chiropractor | 102 W 32nd St, Lumberton, NC 28358-2925 | 2006-11-08 |
Find all providers with the same taxonomy |
City | TAYLORSVILLE |
Zip Code | 28681 |
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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.