Dr Fazzio LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

166 Issued in AK

Legal business name

DR FAZZIO LLC

Practice address

29 College Rd
Suite 8B-1
Fairbanks, AK 99701-1739

Phone

(907) 456-3302

Fax

(907) 374-8060

NPI assigned

Sep 13, 2012

Last updated

Nov 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leon Fazzio III, CHIROPRACTORNPI 1386922862

Title

Owner

Phone

(907) 456-3302

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leon Joseph Fazzio III, D.C

  • Chiropractor
  • Fairbanks, AK
  • NPI 1386922862
  Authorized official Same address or phone

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1740530088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 COLLEGE RD",
            "address_2": "SUITE 8B-1",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997011739",
            "telephone_number": "907-456-3302",
            "fax_number": "907-374-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 COLLEGE RD",
            "address_2": "SUITE 8B-1",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997011739",
            "telephone_number": "907-456-3302",
            "fax_number": "907-374-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR FAZZIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "FAZZIO",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-456-3302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.