Active NPI
Antonio Carmona Fernando, DC
- Chiropractor
- Collegeville, PA
National Provider Identifier
1275512121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5712L
- Practice address
- 305 2ND Ave
Collegeville, PA 19426-2658 - Phone
- (610) 831-8086
- Fax
- (610) 831-8087
- NPI assigned
- Jan 10, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5712L | PA | Primary |
Addresses
Primary practice location
305 2ND Ave
Collegeville, PA 19426-2658
Mailing address
305 2ND Ave
Collegeville, PA 19426-2658
Phone (610) 831-8086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050307000415 | PA | Practitioner - Chiropractic | 5496709073 | Practice locations: Allentown, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5712L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1275512121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 2ND AVE",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194262658",
"telephone_number": "610-831-8086",
"fax_number": "610-831-8087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 2ND AVE",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194262658",
"telephone_number": "610-831-8086",
"fax_number": "610-831-8087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDO",
"first_name": "ANTONIO",
"middle_name": "CARMONA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "5712L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Collegeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.