John Perry Fidler, DC CHIROPRACTOR

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

200001376959 Issued in NC

Practice address

2301 US Hwy 105 S
Boone, NC 28679

Phone

(828) 264-1561

Fax

(828) 264-1560

NPI assigned

May 1, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1981

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 and National Provider Directory roles.

• Fidler Chiropractic Center

  • Chiropractor
  • Boone, NC
  • NPI 1295928745
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1750501722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 US HWY 105 S",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "28679",
            "telephone_number": "828-264-1561",
            "fax_number": "828-264-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 US HWY 105 S",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "28679",
            "telephone_number": "828-264-1561",
            "fax_number": "828-264-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDLER",
        "first_name": "JOHN",
        "middle_name": "PERRY",
        "name_prefix": "Dr.",
        "credential": "DC CHIROPRACTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "200001376959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PLAN",
            "identifier": "08409",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Faw, OTR/L
• Christopher Feijoo
• Rachel Feldman, LPCA
• Robert John Felix, MD
• Fidler Chiropractic Center
• Henry David William Figueroa, MSW, LCSW
• Eliza Johannah Filene, MD
• Brendan Moore Finnegan, LPCA
• Janie Braddock Finnin
• Firm Foundation Therapy PLLC

• Chiropractor in Boone, NC
• Providers in Boone, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.