Troy Edward Fodor, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00002652 Issued in WA

Practice address

1724 Wesley Way
Sunnyside, WA 98944-6001

Phone

(509) 839-8000

Fax

(509) 515-2814

NPI assigned

Mar 13, 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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fodor Chiropractic PSGroup PAC ID 1658431838, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Fodor Chiropractic P.S.

  • Chiropractor
  • Sunnyside, WA
  • NPI 1124270822
  Medicare reassignment Care Compare group Authorized official
• Troy E. Fodor, DC

  • Chiropractor
  • Sunnyside, WA
  • NPI 1013199496
  NPD (past) Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1376676361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 WESLEY WAY",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989446001",
            "telephone_number": "509-839-5656",
            "fax_number": "509-839-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 WESLEY WAY",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989446001",
            "telephone_number": "509-839-8000",
            "fax_number": "509-515-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FODOR",
        "first_name": "TROY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "000119649",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "FO1686",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LI",
            "identifier": "75565",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Fernandez, SUDPT
• Romualdez Villanueva Ferrer, RPH
• Virginia Margarita Flores, CDPT.CO.70113520
• Fodor Chiropractic P.S.
• Skyler Madison Fodor, DC
• Ty Andrew Fodor
• Timara Freeman-Young
• Paul Rodney Furan, PA-C
• Samantha Galindo
• Ana G. Garcia-Collazo, M.D.

• Chiropractor in Sunnyside, WA
• Providers in Sunnyside, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.