Fodor Chiropractic P.S.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FODOR CHIROPRACTIC P.S.

Practice address

1724 Wesley Way
Sunnyside, WA 98944-6001

Phone

(509) 839-8000

Fax

(509) 515-2814

NPI assigned

Oct 14, 2008

Organization subpart

No

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

Authorized official

Name

Troy Edward Fodor, DCNPI 1376676361

Title

Owner

Phone

(509) 839-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fodor Chiropractic Former legal business name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 7

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

• Troy Edward Fodor, DC

  • Chiropractor
  • Sunnyside, WA
  • NPI 1376676361
  Medicare reassignment Care Compare group Authorized official
• Skyler Madison Fodor, DC

  • Chiropractor
  • Sunnyside, WA
  • NPI 1245911502
  Medicare reassignment Care Compare group NPD
• Ty Andrew Fodor

  • Chiropractor
  • Sunnyside, WA
  • NPI 1104506559
  Medicare reassignment Care Compare group NPD
• Catherine Lozano

  • Massage Therapist
  • Sunnyside, WA
  • NPI 1609517754
  NPD
• Helena Marie White, LMT

  • Massage Therapist
  • Sunnyside, WA
  • NPI 1821844150
  NPD
• Leslie P. Crone I, L.M.P.

  • Massage Therapist
  • Grandview, WA
  • NPI 1023238516
  NPD (past)
• Karen Jill Ryan, LMT LICENSED MASSAGE

  • Massage Therapist
  • Deer Meadows, WA
  • NPI 1003582396
  NPD (past)

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1124270822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 WESLEY WAY",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989446001",
            "telephone_number": "509-839-8000",
            "fax_number": "509-515-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 WESLEY WAY",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989446001",
            "telephone_number": "509-839-8000",
            "fax_number": "509-515-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FODOR CHIROPRACTIC P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "FODOR",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-839-8000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1013199496",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fodor Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Fodor Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Evergreen Anesthesia Associates, LLC
• Elba Fernandez, ARNP
• Victor Fernandez, SUDPT
• Romualdez Villanueva Ferrer, RPH
• Virginia Margarita Flores, CDPT.CO.70113520
• Skyler Madison Fodor, DC
• Troy Edward Fodor, DC
• Ty Andrew Fodor
• Timara Freeman-Young
• Paul Rodney Furan, PA-C

• Chiropractor in Sunnyside, WA
• Providers in Sunnyside, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.