Kevin Mark Fasolino, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13427 Issued in TX

Practice address

1506 N Greenville Ave Ste 260
Allen, TX 75002

Phone

(469) 404-5253

NPI assigned

Jun 8, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Garden Life Chiropractic LLC

  • Chiropractor
  • Allen, TX
  • NPI 1740146711
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710416102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 N GREENVILLE AVE STE 260",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028697",
            "telephone_number": "469-404-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 N GREENVILLE AVE STE 260",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75002",
            "telephone_number": "469-404-5253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 Chase Oaks Blvd",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "75023",
            "country_code": "US",
            "telephone_number": "469-467-1125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FASOLINO",
        "first_name": "KEVIN",
        "middle_name": "MARK",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramsey Matthew Fanous, D.D.S.
• Fare Health Nutrition Services LLC
• Carolina Fernanda Farfal
• Ashley Kathleen Faris, PT, DPT, LAT, ATC
• Summer Farmer, M.S. CCC-SLP
• Fastdoc Professional Association (FastDoc Urgent Care)
• Cali Chee Faulkner
• Sara Peterman Feldman, PH.D., BCBA, LBA
• Yvonne Akosua Felli, D.M.D
• Paula J Ferguson, PT

• Chiropractor in Allen, TX
• Providers in Allen, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.