Individual provider Active NPI

Amy Lynn Fansler, D.C.

  • Radiology Chiropractor
  • Orangevale, CA
National Provider Identifier
1568638716
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology ChiropractorTaxonomy code 111NR0200X
License
DC29184 Issued in CA
Practice address
8680 Greenback LN
Suite 110
Orangevale, CA 95662-3969
Phone
(916) 988-6738
Fax
(916) 988-3422
NPI assigned
May 7, 2008
Last updated
May 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Chiropractor 111NR0200X DC29184 CA Primary

Addresses

Primary practice location

8680 Greenback LN
Suite 110
Orangevale, CA 95662-3969

Mailing address

8680 Greenback Lane
Suite 110
Orangevale, CA 95662
Phone (916) 988-6738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC29184CAMDRadiology Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1568638716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8680 GREENBACK LANE",
            "address_2": "SUITE 110",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "95662",
            "telephone_number": "916-988-6738",
            "fax_number": "916-988-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8680 GREENBACK LN",
            "address_2": "SUITE 110",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956623969",
            "telephone_number": "916-988-6738",
            "fax_number": "916-988-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANSLER",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "CA",
            "license": "DC29184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangevale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.