Organization Active NPI

Fasken Chiropractic and Wellness LLC

  • Chiropractor
  • Columbia, MO
National Provider Identifier
1780947945
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FASKEN CHIROPRACTIC AND WELLNESS LLC
Practice address
2501 W Ash St
Suite B
Columbia, MO 65203-4609
Phone
(573) 442-8959
Fax
(573) 443-8959
NPI assigned
Jun 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Authorized official

Name
Dr. Shayna Loren Fasken, DC
Title
Member
Phone
(573) 442-8959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2501 W Ash St
Suite B
Columbia, MO 65203-4609

Mailing address

2501 W Ash St
Suite B
Columbia, MO 65203-4609
Phone (573) 442-8959

National Provider Directory

National Provider Directory

Locations

1200 Fay St
Columbia, MO 65201
Phone (573) 356-1425

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1780947945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W ASH ST",
            "address_2": "SUITE B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034609",
            "telephone_number": "573-442-8959",
            "fax_number": "573-443-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W ASH ST",
            "address_2": "SUITE B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034609",
            "telephone_number": "573-442-8959",
            "fax_number": "573-443-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASKEN CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "FASKEN",
        "authorized_official_first_name": "SHAYNA",
        "authorized_official_middle_name": "LOREN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "573-442-8959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.