Donald Jay Funk, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010258 Issued in MI

Practice address

418 S Union St
Traverse City, MI 49684-5756

Phone

(231) 421-3968

NPI assigned

Oct 3, 2014

Last updated

Jul 20, 2016By 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 MI

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Structure and Function Chiropractic and Rehab PLCGroup PAC ID 5698997351, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Structure and Function Chiropractic and Rehab PLC

  • Chiropractor
  • Traverse City, MI
  • NPI 1306240627
  Medicare reassignment Care Compare group NPD Authorized official
• Pathways Chiropractic PLLC

  • Chiropractor
  • Traverse City, MI
  • NPI 1104287622
  NPD (past)

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1750784765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 S UNION ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845756",
            "telephone_number": "231-421-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 S UNION ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845756",
            "telephone_number": "231-421-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "DONALD",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-03",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Fulcher
• Full Circle Wellness PLLC
• Function Rehabilitation
• Functional Dimensions LLC (Superior Physical Therapy)
• Functional Dimensions LLC
• Sara Ann Furgeson, LLMSW
• Benjamin Fuson
• Drew Ray Fyan
• Gregory Fyfe, LMT
• Kathy Gabara, P.T.A.

• Chiropractor in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.