Fayetteville Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1875 Issued in NC

Legal business name

FAYETTEVILLE CHIROPRACTIC

Practice address

205 Owen Dr
Fayetteville, NC 28304-3409

Phone

(910) 484-5999

Fax

(910) 484-2523

NPI assigned

Sep 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jerome E Fonke, D.C.

Title

President

Phone

(910) 484-5999

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Fayetteville Family Chiropractic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Isaac M Billin, DC

  • Chiropractor
  • Fayetteville, NC
  • NPI 1417714569
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1013015205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 GRAYLYN PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142630",
            "telephone_number": "910-864-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043409",
            "telephone_number": "910-484-5999",
            "fax_number": "910-484-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTEVILLE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "FONKE",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-484-5999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "0840G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890823W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fayetteville Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fayetteville Area Health Education Foundation Inc
• Fayetteville Area Health Education Foundation, Inc.
• Fayetteville Associates in Laboratory Medicine
• Fayetteville Breastfeeding Center Inc
• Fayetteville Children'S Clinic, P.a.
• Fayetteville Chiropractic Solutions PA
• Fayetteville Counseling Services, PLLC
• Fayetteville Drugs LLC
• Fayetteville Endocrinology and Diabetes Clinic PA
• Fayetteville Family Extended Care

• Chiropractor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.