Sisak Chiropractic Clinic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009529 Issued in PA

Legal business name

SISAK CHIROPRACTIC CLINIC, P.C.

Practice address

5091 Route 119 Hwy S
Homer City, PA 15748-7226

Phone

(724) 479-8606

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kendra Renee Fairman, D.C.NPI 1134203946

Title

Chiropractor

Phone

(724) 479-8606

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kendra Renee Fairman, D.C.

  • Chiropractor
  • Homer City, PA
  • NPI 1134203946
  NPD (past) Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508940321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5091 ROUTE 119 HWY S",
            "city": "HOMER CITY",
            "state": "PA",
            "postal_code": "157487226",
            "telephone_number": "724-479-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5091 ROUTE 119 HWY S",
            "city": "HOMER CITY",
            "state": "PA",
            "postal_code": "157487226",
            "telephone_number": "724-479-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISAK CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAIRMAN",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "724-479-8606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise A Mamros, M.A., BCBA
• Mindful Reflections, LLC
• Megan Elizabeth Overdorff
• Angela Rowland, RRT
• Deshawn A Saunders
• Matthew David Sisak, D.C.
• Tara Smith, LSW, CAADC
• Krista L Stanick, MSED
• Kevin M Strezo, DDS
• Therapy Solutions of Western Pennsylvania LLC

• Chiropractor in Homer City, PA
• Providers in Homer City, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.