Organization Active NPI

Greensboro Chiropractic Inc

  • Chiropractor
  • Greensboro, NC
National Provider Identifier
1447397989
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2551 Issued in NC
Legal business name
GREENSBORO CHIROPRACTIC INC
Practice address
3132 Battleground Ave
Ste. a
Greensboro, NC 27408-1914
Phone
(336) 545-3132
Fax
(336) 545-0571
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
Mr. Daniel J Fonke, DCNPI 1982646659
Title
President
Phone
(336) 545-3132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2551 NC Primary

Addresses

Primary practice location

3132 Battleground Ave
Ste. a
Greensboro, NC 27408-1914

Mailing address

3132 Battleground Ave Ste a
Greensboro, NC 27408-1915
Phone (336) 545-3132

Other identifiers 2

IdentifierTypeStateIssuer
0826WOtherNCBCBS
890826WMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100303000838 NC Part B Supplier - Clinic/Group Practice 3476698309 Receives reassigned benefits from 8 practitioners
Practice locations: Greensboro, NC

National Provider Directory

National Provider Directory

Locations

3132 Battleground Ave
Ste A
Greensboro, NC 27408
Phone (336) 545-3132

2205 Fernwood Dr
Greensboro, NC 27408
Phone (336) 255-5156

2006 New Garden Rd
Ste 204
Greensboro, NC 27410
Phone (336) 545-3132

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1447397989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3132 BATTLEGROUND AVE STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274081915",
            "telephone_number": "336-545-3132",
            "fax_number": "336-545-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3132 BATTLEGROUND AVE",
            "address_2": "STE. A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274081914",
            "telephone_number": "336-545-3132",
            "fax_number": "336-545-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENSBORO CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "FONKE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-545-3132",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0826W",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890826W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.