Sonny Radenic, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1006 Issued in ND

Practice address

4325 13TH Ave S
Suite 5
Fargo, ND 58103-3341

Phone

(701) 356-0016

NPI assigned

Dec 30, 2014

Last updated

Sep 2, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1548658487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 7TH ST W",
            "address_2": "APT 306",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580786916",
            "telephone_number": "701-641-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 13TH AVE S",
            "address_2": "SUITE 5",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033341",
            "telephone_number": "701-356-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADENIC",
        "first_name": "SONNY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-30",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6023",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina M Raab
• Robert Raad, M.D.
• Hailey Raan
• Claire Rachac
• Rachel Ness M.D., PLLC (Fargo Center for Dermatology)
• Jeni Rader
• Jasmine Rose Radi, LMT
• Michelle M Radke, MD
• Shelby Radke
• Tiffany Radke, AU.D.

• Chiropractor in Fargo, ND
• Providers in Fargo, ND by specialty
• Chiropractor in North Dakota

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