Active NPI
John Allen Fenn, D.C
- Chiropractor
- Chesapeake, VA
National Provider Identifier
1336239292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104001678
- Practice address
- 800 Battlefield Blvd S Ste 111
Chesapeake, VA 23322-6670 - Phone
- (757) 482-8445
- Fax
- (757) 482-9265
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 0104001678 | VA | Primary |
Addresses
Primary practice location
800 Battlefield Blvd S Ste 111
Chesapeake, VA 23322-6670
Mailing address
800 Battlefield Blvd S Ste 111
Chesapeake, VA 23322-6670
Phone (757) 482-8445
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104001678 | VA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636070400000",
"number": "1336239292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BATTLEFIELD BLVD S STE 111",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233226670",
"telephone_number": "757-482-8445",
"fax_number": "757-482-9265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BATTLEFIELD BLVD S STE 111",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233226670",
"telephone_number": "757-482-8445",
"fax_number": "757-482-9265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENN",
"first_name": "JOHN",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104001678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.