Individual provider Active NPI

Dawn Fealk, D.C.

  • Chiropractor
  • Gold River, CA
National Provider Identifier
1235280520
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27326 Issued in CA
Practice address
11226 Gold Express Dr
Ste 201
Gold River, CA 95670-4411
Phone
(916) 861-0028
Fax
(916) 861-0029
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC27326 CA Primary

Addresses

Primary practice location

11226 Gold Express Dr
Ste 201
Gold River, CA 95670-4411

Mailing address

11226 Gold Express Dr
Ste 201
Gold River, CA 95670-4411
Phone (916) 861-0028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27326CAMDMarriage & Family Therapist
DC27326CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Accident and Injury Relief Center Inc. Chiropractor CurrentSince Jan 21, 2022 Accepting new patients

Locations

11226 Gold Express Dr
Ste 201
Gold River, CA 95670
Phone (916) 635-9595

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1235280520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11226 GOLD EXPRESS DR",
            "address_2": "STE 201",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704411",
            "telephone_number": "916-861-0028",
            "fax_number": "916-861-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11226 GOLD EXPRESS DR",
            "address_2": "STE 201",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704411",
            "telephone_number": "916-861-0028",
            "fax_number": "916-861-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEALK",
        "first_name": "DAWN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gold River, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.