Stephen Matthew Fenton, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-011703 Issued in IL

Practice address

490 W Side SQ
Carlinville, IL 62626-1796

Phone

(217) 854-2557

NPI assigned

Jun 13, 2010

Last updated

Jun 13, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fenton Family Chiropractic PC

  • Chiropractor
  • Carlinville, IL
  • NPI 1134561822
  Medicare reassignment NPD Authorized official
• Fenton Family Chiropractic

  • Chiropractor
  • Carlinville, IL
  • NPI 1205195203
  Authorized official Same address or phone
• Macoupin County Chiro Partnership

  • Chiropractor
  • Staunton, IL
  • NPI 1710289400
  NPD (past)
• North Arkansas Regional Medical Center

  • General Acute Care Hospital
  • Harrison, AR
  • NPI 1275523912
  NPD (past)

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

{
    "created_epoch": "1276387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276387200000",
    "number": "1427379528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19244 HURRICANE DR",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626269380",
            "telephone_number": "217-556-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 W SIDE SQ",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261796",
            "telephone_number": "217-854-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTON",
        "first_name": "STEPHEN",
        "middle_name": "MATTHEW",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-13",
        "last_updated": "2010-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-011703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Marie Emmerich, MD
• Katerina Leigh Emmons, NRP
• Eyecare of Carlinville PC
• Fenton Family Chiropractic
• Fenton Family Chiropractic PC
• Susan Lynne Fite
• Meta Jo Floyd, BSPHARM PHARMD
• Patrice M Fraser, LCSW
• Friendship Home
• Charles J Fritz, RPH

• Chiropractor in Carlinville, IL
• Providers in Carlinville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2010; 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.