NPIMap

Organization Active NPI

Troy E. Fodor, DC

  • Chiropractor
  • Sunnyside, WA
National Provider Identifier
1013199496
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002652 Issued in WA
Legal business name
TROY E. FODOR, DC
Practice address
1101 Tacoma Ave
Sunnyside, WA 98944-2264
Phone
(509) 839-5656
Fax
(509) 839-5682
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Dr. Troy E Fodor, D.C.NPI 1376676361
Title
Owner/Practioner
Phone
(509) 836-5656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00002652 WA Primary

Addresses

Primary practice location

1101 Tacoma Ave
Sunnyside, WA 98944-2264

Mailing address

1101 Tacoma Ave
Sunnyside, WA 98944-2264
Phone (509) 839-5656

National Provider Directory

National Provider Directory

Locations

1101 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 839-5656

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1013199496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 TACOMA AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442264",
            "telephone_number": "509-839-5656",
            "fax_number": "509-839-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 TACOMA AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442264",
            "telephone_number": "509-839-5656",
            "fax_number": "509-839-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY E. FODOR, DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "FODOR",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PRACTIONER",
        "authorized_official_telephone_number": "509-836-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.