Individual provider Active NPI

Christopher Fencl, DC

  • Chiropractor
  • Largo, FL
National Provider Identifier
1740977800
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14502 Issued in FL
Practice address
13119 66TH St N
Largo, FL 33773
Phone
(727) 519-0200
NPI assigned
Apr 19, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 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 14502 FL Primary

Addresses

Primary practice location

13119 66TH St N
Largo, FL 33773

Mailing address

3700 9TH Ave. N
E11
St. Petersburg, FL 33713
Phone (913) 271-0076

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230808001784 FL Practitioner - Chiropractic 7911369921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Ngo Chiropractic LLCGroup PAC ID 6800282401, 3 clinicians

Practice addresses (Care Compare)

13133 66TH St
Largo, FL 33773-1812
Phone (727) 519-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14502FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ngo Chiropractic LLC Chiropractor CurrentSince May 1, 2023 Accepting new patients

Locations

13119 66th St
Largo, FL 33773
Phone (727) 209-7549

13133 66th St
Largo, FL 33773
Phone (727) 330-7743

Organizations & group practices 1

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": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1740977800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 9TH AVE. N",
            "address_2": "E11",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33713",
            "telephone_number": "913-271-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13119 66TH ST N",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33773",
            "telephone_number": "727-519-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENCL",
        "first_name": "CHRISTOPHER",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.