Individual provider Active NPI

James Ryan Fenn, D.C.

  • Chiropractor
  • Tallahassee, FL
National Provider Identifier
1619904026
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7993 Issued in FL
Practice address
1989 Capital Cir NE
Ste 1
Tallahassee, FL 32308-4493
Phone
(850) 386-7700
Fax
(850) 386-7722
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7993 FL Primary

Addresses

Primary practice location

1989 Capital Cir NE
Ste 1
Tallahassee, FL 32308-4493

Mailing address

1989 Capital Cir NE
Ste 1
Tallahassee, FL 32308-4493
Phone (850) 386-7700

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH7993FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1619904026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 CAPITAL CIR NE",
            "address_2": "STE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084493",
            "telephone_number": "850-386-7700",
            "fax_number": "850-386-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 CAPITAL CIR NE",
            "address_2": "STE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084493",
            "telephone_number": "850-386-7700",
            "fax_number": "850-386-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENN",
        "first_name": "JAMES",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.