Individual provider Active NPI

Robert R Fano, D.C.

  • Chiropractor
  • Redding, CA
National Provider Identifier
1528223278
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33109 Issued in CA
Practice address
940 Hilltop Dr
Suite D
Redding, CA 96003-3869
Phone
(530) 221-1228
Fax
(530) 221-1248
NPI assigned
Jul 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008381 GA
Chiropractor 111N00000X 6472 CO
Chiropractor 111N00000X 33109 CA Primary

Addresses

Primary practice location

940 Hilltop Dr
Suite D
Redding, CA 96003-3869

Mailing address

940 Hilltop Dr
Suite D
Redding, CA 96003-3869
Phone (530) 221-1228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081015000618 GA Practitioner - Chiropractic 5799843066 Practice locations: Marietta, GA
I20160108001595 CA Practitioner - Chiropractic 5799843066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33109CAMDChiropractor
6472COMDChiropractor
CHIR008381GAMDChiropractor
3365TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vertical Chiropractic of Florida, PLLC Chiropractor Current Accepting new patients
Bryan Meredith Chiropractic Corporation Chiropractor CurrentSince Sep 29, 2024 Accepting new patients
Vertical Chiropractic Inc Chiropractor PastSince Dec 1, 2015 Accepting new patients

Locations

940 Hilltop Dr
Ste D
Redding, CA 96003
Phone (530) 221-1228

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1528223278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 HILLTOP DR",
            "address_2": "SUITE D",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033869",
            "telephone_number": "530-221-1228",
            "fax_number": "530-221-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 HILLTOP DR",
            "address_2": "SUITE D",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033869",
            "telephone_number": "530-221-1228",
            "fax_number": "530-221-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANO",
        "first_name": "ROBERT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008381",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6472",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.