Fennelly Chiropractic Clinic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FENNELLY CHIROPRACTIC CLINIC, INC.

Practice address

450 Corporate Dr
Ste 108
Kalispell, MT 59901-6094

Phone

(406) 755-3014

Fax

(406) 755-3214

NPI assigned

Nov 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Sampson R Fennelly, D.C.NPI 1568743227

Title

President

Phone

(406) 755-3014

Specialties & licenses 1

Addresses

Other names 1

• The Wellness Way - Flathead Valley Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 4

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

• Sampson Richard Fennelly, D.C.

  • Chiropractor
  • Kalispell, MT
  • NPI 1568743227
  Medicare reassignment Care Compare group NPD Authorized official
• Alex Leigh Fennelly, D.C.

  • Chiropractor
  • Kalispell, MT
  • NPI 1538441126
  Medicare reassignment Care Compare group NPD
• Marta Graves, PA-C

  • Medical Physician Assistant
  • Kalispell, MT
  • NPI 1346400975
  NPD (past)
• Brooke Kendra Schmidt, PA-C

  • Medical Physician Assistant
  • Kalispell, MT
  • NPI 1205858867
  NPD (past)

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1467729616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CORPORATE DR",
            "address_2": "STE 108",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599016094",
            "telephone_number": "406-755-3014",
            "fax_number": "406-755-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CORPORATE DR",
            "address_2": "STE 108",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599016094",
            "telephone_number": "406-755-3014",
            "fax_number": "406-755-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENNELLY CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "FENNELLY",
        "authorized_official_first_name": "SAMPSON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-755-3014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wellness Way - Flathead Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kacy Feagan
• Kimberly Fedderly, PHARMD, MS H.N.
• Conrad Felten, CCC-SLP
• Tasha Felton
• Benjamin Fenison, MOTR
• Alex Leigh Fennelly, D.C.
• Sampson Richard Fennelly, D.C.
• Tanner Ferderer
• Andrew J Ferdinand, MD
• Mary Irene B Feria, M.D.

• Chiropractor in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.