Eugene M Fortuna, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

004017 Issued in MO

Practice address

7626 N Oak Trfy
Gladstone, MO 64118-1751

Phone

(816) 468-5200

Fax

(816) 468-5201

NPI assigned

Jan 19, 2006

Last updated

Aug 2, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1023098761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7626 N OAK TRFY",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641181751",
            "telephone_number": "816-468-5200",
            "fax_number": "816-468-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7626 N OAK TRFY",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641181751",
            "telephone_number": "816-468-5200",
            "fax_number": "816-468-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNA",
        "first_name": "EUGENE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "004017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHILED",
            "identifier": "05884020",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norma Deann Fleming, CCDP-D LPC
• Corinne Fogarty, RBT
• Foot Specialists of Kansas City, PA (Comprehensive Foot and Ankle Centers)
• Fortuna Chiropractic Clinic LLC
• Doris J Fortuna, D.C.
• Sarah Elizabeth Foster
• Four B Corp (Price Chopper)
• Frank J Infranca
• Lindsay Renee Frazier
• Timothy C. Frey, DO

• Chiropractor in Gladstone, MO
• Providers in Gladstone, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.