D. J. Fahnestock, D. C., P. C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

003184 Issued in MO

Legal business name

D. J. FAHNESTOCK, D. C., P. C.

Practice address

269 S Jefferson Ave
Marshall, MO 65340-2134

Phone

(660) 886-6903

Fax

(660) 886-6904

NPI assigned

Apr 28, 2008

Last updated

May 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Jewell Fahnestock, D. C.NPI 1548297922

Title

President

Phone

(660) 886-6903

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel J Fahnestock, D.C.

  • Chiropractor
  • Marshall, MO
  • NPI 1548297922
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1144495599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 S JEFFERSON AVE",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653402134",
            "telephone_number": "660-886-6903",
            "fax_number": "660-886-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 S JEFFERSON AVE",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653402134",
            "telephone_number": "660-886-6903",
            "fax_number": "660-886-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. J. FAHNESTOCK, D. C., P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "FAHNESTOCK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JEWELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "660-886-6903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "003184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF KC",
            "identifier": "03801016",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "115444",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "T73635",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Common Good-Natural Living
• Justin Scot Cortez, RN, MSN, APRN FNP-C
• Curators of the University of Missouri
• Curators of the University of Missouri (University Physicians Specialty Care Associates)
• Jana Curry, RDN
• Misty Dace
• Lyndsey Brooke Davis
• Dennis Leon Hunter (Marshall Eye Care Center,LLC)
• Brian Devivo
• Carol S Dickerson, LCSW

• Primary Care Clinic/Center in Marshall, MO
• Providers in Marshall, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.