Anthony G Fedoryk, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC28888 Issued in CA

Practice address

4019 Westerly PL Ste 101
Newport Beach, CA 92660-2343

Phone

(949) 250-1125

Fax

(949) 250-5841

NPI assigned

Apr 9, 2007

Sex

Male

Sole proprietor

Yes

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)

Not 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.

• Boyer Chiropractic, Inc.

  • Exclusive Provider Organization
  • Newport Beach, CA
  • NPI 1417138926

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134242563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 WESTERLY PL STE 101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602343",
            "telephone_number": "949-250-1125",
            "fax_number": "949-250-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 WESTERLY PL STE 101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602343",
            "telephone_number": "949-250-1125",
            "fax_number": "949-250-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDORYK",
        "first_name": "ANTHONY",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahin G Farzin, DDS
• Julio Cesar Fassino, D.C.
• Melody Fatehi
• Mariam Fazil-Nageer, PMHNP-BC
• Amal Fazli
• Melissa Wells Fedoryk, MA
• Jennifer L Fee, PSY.D.
• Martin Joseph Fee, MD
• Steven Feinberg, MD
• Gregg Feinerman, M.D.

• Chiropractor in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.