Individual provider Active NPI

Stefanie Marie Fairchild, D.C.

  • Chiropractor
  • Juneau, AK
National Provider Identifier
1568698686
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
517 Issued in AK
Practice address
2215 Jordan Ave
Juneau, AK 99801-8050
Phone
(907) 500-4888
Fax
(907) 891-7376
NPI assigned
Jun 3, 2009
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 517 AK Primary

Addresses

Primary practice location

2215 Jordan Ave
Juneau, AK 99801-8050

Mailing address

PO Box 211247
Auke Bay, AK 99821-1247
Phone (907) 500-4888

Other practice location 1

10004 Glacier Hwy
Ste B
Juneau, AK 99801-8560
Phone (907) 500-4888

Other names 1

  • Dr. Stefanie Marie Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100816000612 AK Practitioner - Chiropractic 2961548284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2215 Jordan Ave
Juneau, AK 99801-8050
Phone (907) 500-4888

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
517AKMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Family Chiropractic PLLC Chiropractor Current Accepting new patients
Aurora Chiropractic Center P.C. Chiropractor PastSince Jul 5, 2009 Accepting new patients
Owasso Wellness PLLC Chiropractor Past Accepting new patients
Enhance Orthopedic Surgery, LLC Past Accepting new patients

Locations

13720 E 86th St N
Ste 130
Owasso, OK 74055
Phone (918) 274-3888

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15353/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1568698686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211247",
            "city": "AUKE BAY",
            "state": "AK",
            "postal_code": "998211247",
            "telephone_number": "907-500-4888",
            "fax_number": "907-790-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 JORDAN AVE",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018050",
            "telephone_number": "907-500-4888",
            "fax_number": "907-891-7376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10004 GLACIER HWY",
            "address_2": "STE B",
            "address_purpose": "LOCATION",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018560",
            "country_code": "US",
            "telephone_number": "907-500-4888",
            "fax_number": "907-790-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIRCHILD",
        "first_name": "STEFANIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "JONES",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.