Fanella Chiropractic Clinic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

OC007597L Issued in PA

Legal business name

FANELLA CHIROPRACTIC CLINIC PC

Practice address

2340 Warren Road
Suite 203
Indiana, PA 15701

Phone

(724) 464-0400

Fax

(724) 464-0800

NPI assigned

Dec 28, 2006

Last updated

Nov 22, 2010By 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. Richard Timothy Fanella Sr., DCNPI 1154393981

Title

Owner Chiropractor

Phone

(724) 464-0400

Specialties & licenses 1

Addresses

Other names 1

• Fanella Chiropractic Clinic Former legal business name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Richard Timothy Fanella Sr., DC

  • Chiropractor
  • Indiana, PA
  • NPI 1154393981
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1760548598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 WARREN ROAD",
            "address_2": "SUITE 203",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "15701",
            "telephone_number": "724-464-0400",
            "fax_number": "724-464-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 WARREN ROAD",
            "address_2": "SUITE 203",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "15701",
            "telephone_number": "724-464-0400",
            "fax_number": "724-464-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANELLA CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "FANELLA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "724-464-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "OC007597L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fanella Chiropractic Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Cassidy Jo Fairman
• Julie Fairman, PT, CWT
• Tracy Falisec, RPH
• Family 1579 LLC.
• Family Counseling Center of Armstrong County
• Richard Timothy Fanella Sr., DC
• Annette F. Farabaugh, O.D.
• Joann Marie Farabaugh, P.T.
• Olivia Grace Fearer
• Harry William Fegley, M.D.

• Chiropractor in Indiana, PA
• Providers in Indiana, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.