Individual provider Active NPI

Darrell Lee Fynaardt, D.C.

  • Chiropractor
  • Muskego, WI
National Provider Identifier
1700831658
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2492-012 Issued in WI
Practice address
S63W13620 Janesville Rd
Muskego, WI 53150-2713
Phone
(262) 425-9776
Fax
(414) 425-9794
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2492-012 WI Primary

Addresses

Primary practice location

S63W13620 Janesville Rd
Muskego, WI 53150-2713

Mailing address

S63W13620 Janesville Rd
Muskego, WI 53150-2713
Phone (262) 679-2060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060802000101 WI Practitioner - Chiropractic 5991718371 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Company - Muskego LLCGroup PAC ID 2567898273, 3 clinicians

Practice addresses (Care Compare)

S63W13620 Janesville Rd
Muskego, WI 53150-2713
Phone (414) 425-9776

W189S7773 Racine Ave
Muskego, WI 53150-9546
Phone (262) 679-2060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2492-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Chiropractic, S.C. Chiropractor CurrentSince Jun 18, 2003 Accepting new patients
Chiropractic Company - Muskego LLC Chiropractor CurrentSince Oct 1, 2025 Accepting new patients

Locations

W189S7773 Racine Ave
Muskego, WI 53150
Phone (262) 679-2060

W189S7819 Racine Ave
Muskego, WI 53150
Phone (262) 679-2060

S63W13620 Janesville Rd
Muskego, WI 53150
Phone (262) 425-9776

Organizations & group practices 2

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1700831658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S63W13620 JANESVILLE RD",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531502713",
            "telephone_number": "262-679-2060",
            "fax_number": "414-425-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S63W13620 JANESVILLE RD",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531502713",
            "telephone_number": "262-425-9776",
            "fax_number": "414-425-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FYNAARDT",
        "first_name": "DARRELL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2492-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskego, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.