Active NPI
Donn J Fahrendorf, DC
- Chiropractor
- Sioux Falls, SD
National Provider Identifier
1447228390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 469
- Practice address
- 1725 S Cliff Ave
Sioux Falls, SD 57105-2126 - Phone
- (605) 338-6411
- Fax
- (605) 331-5670
- NPI assigned
- Mar 8, 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 | 469 | SD | Primary |
Addresses
Primary practice location
1725 S Cliff Ave
Sioux Falls, SD 57105-2126
Mailing address
1725 S Cliff Ave
Sioux Falls, SD 57105-2126
Phone (605) 338-6411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7600490 | Medicaid | SD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Konstant Chiropractic Center | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Sioux Falls, SD
- NPI 1730481466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1447228390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 S CLIFF AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571052126",
"telephone_number": "605-338-6411",
"fax_number": "605-331-5670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 S CLIFF AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571052126",
"telephone_number": "605-338-6411",
"fax_number": "605-331-5670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHRENDORF",
"first_name": "DONN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SD",
"license": "469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7600490",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.