Chase Stephen Fifarek, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10825 Issued in FL

Practice address

12479 S Access Rd Ste 1
Port Charlotte, FL 33981-6206

Phone

(941) 697-3001

NPI assigned

Mar 14, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chiro-Med Health and Rehab PL

  • Chiropractor
  • Port Charlotte, FL
  • NPI 1447446828
  NPD (past)

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1124369178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 L PAVIA BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342925327",
            "telephone_number": "517-281-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12479 S ACCESS RD STE 1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339816206",
            "telephone_number": "941-697-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIFAREK",
        "first_name": "CHASE",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Fernandez
• Sean Fernberg, PHARM D
• Lisa Marie Ferrentino, ARNP
• Annette Fiedler, LMHC
• Sara Field, DPT
• Jaime Figueredo, LMT
• Christopher L Finley, D.O.
• Stephanie Elena Finley, DO
• Cristina Finnegan, LMHC
• Joseph M Fiscella, PTA

• Chiropractor in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.