Wayne John Fenton, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2041 Issued in NC

Practice address

99 7TH Street SW
Taylorsville, NC 28625

Phone

(828) 635-7400

Fax

(828) 635-7415

NPI assigned

Oct 24, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1467536748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286810429",
            "telephone_number": "828-635-7400",
            "fax_number": "828-635-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 7TH STREET SW",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "28625",
            "telephone_number": "828-635-7400",
            "fax_number": "828-635-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTON",
        "first_name": "WAYNE",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890822G",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0822G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Robert Farmer, P.T.,C.H.T.
• Mark A Faruque, MD
• Russell W Faulkenberry, M.D.
• Fenton Chiropractic PA
• Fenton Chiropractic PA
• Anna F Ferguson, RPH
• Mandy Miller Ferguson, FNP-C
• Brent James Fischer, DC
• Michael Lawrence Fisher, M.D.
• Nicole M Ford, PT

• Chiropractor in Taylorsville, NC
• Providers in Taylorsville, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.