Active NPI
Sydney Kay Fenton, DC
- Chiropractor
- Charlotte, NC
National Provider Identifier
1790408375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5538
- Practice address
- 2317 Randolph Rd
Charlotte, NC 28207-1525 - Phone
- (704) 317-2706
- NPI assigned
- Sep 20, 2022
- Last updated
- Oct 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5538 | NC | Primary |
Addresses
Primary practice location
2317 Randolph Rd
Charlotte, NC 28207-1525
Mailing address
1305 Central Ave Apt 330
Charlotte, NC 28205-5192
Phone (812) 664-6181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4086 W D Ave
Unit B
Kalamazoo, MI 49008-9011
420 E 15TH St
BLDG B
Charlotte, NC 28206-3319
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Charlotte, NC
- NPI 1861178501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1790408375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 CENTRAL AVE APT 330",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282055192",
"telephone_number": "812-664-6181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2317 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071525",
"telephone_number": "704-317-2706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENTON",
"first_name": "SYDNEY",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-20",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "5538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.