Individual provider Active NPI

Todd Eugene Fare, D.C.

  • Chiropractor
  • Severna Park, MD
National Provider Identifier
1386773695
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01835 Issued in MD
Practice address
537D Baltimore Annapolis Blvd
Severna Park, MD 21146-3809
Phone
(410) 544-8444
Fax
(410) 544-7941
NPI assigned
Mar 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S01835 MD Primary

Addresses

Primary practice location

537D Baltimore Annapolis Blvd
Severna Park, MD 21146-3809

Mailing address

537D Baltimore Annapolis Blvd
Severna Park, MD 21146-3809
Phone (410) 544-8444

Other identifiers 1

IdentifierTypeStateIssuer
M612FAOtherMDCARE FIRST BCBS

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

LicenseStateTypeSpecialty
S01835MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fare Chiropractic, Inc Chiropractor Past Accepting new patients
Perform for Life Physical Therapy PastSince Dec 4, 2018 Accepting new patients

Organizations & group practices 2

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": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386773695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537D BALTIMORE ANNAPOLIS BLVD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463809",
            "telephone_number": "410-544-8444",
            "fax_number": "410-544-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537D BALTIMORE ANNAPOLIS BLVD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463809",
            "telephone_number": "410-544-8444",
            "fax_number": "410-544-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARE",
        "first_name": "TODD",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BCBS",
            "identifier": "M612FA",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.