Fey Family Chiropractic, Prof. LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1278 Issued in SD

Legal business name

FEY FAMILY CHIROPRACTIC, PROF. LLC

Doing business as

605 Chiropractic & Wellness

Practice address

3822 S Western Ave
Sioux Falls, SD 57105-6511

Phone

(605) 271-2261

Fax

(605) 271-4698

NPI assigned

Apr 4, 2017

Last updated

Apr 28, 2017By 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. Jordan A Fey, D.C.NPI 1568836625

Title

Chiropractor

Phone

(605) 271-2261

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• 605 Chiropractic & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

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.

• Jordan A Fey, D.C.

  • Chiropractor
  • Sioux Falls, SD
  • NPI 1568836625
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1801329123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 S WESTERN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056511",
            "telephone_number": "605-271-2261",
            "fax_number": "605-271-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3822 S WESTERN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056511",
            "telephone_number": "605-271-2261",
            "fax_number": "605-271-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEY FAMILY CHIROPRACTIC, PROF. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "FEY",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "605-271-2261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SD",
            "license": "1278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7606030",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "605 Chiropractic & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ye Jung Ho Ferrabolli-Smith, MD
• Juliana Johnson Ferri Guerra, MD
• Elizabeth Ferri, RBT
• Roberto Ferro Valdes, M.D.
• Daniel Lee Fetzer, M.D.
• Jordan A Fey, D.C.
• Mariah Fickbohm
• Andrew Fickert, MD
• Magdalene Carlene Fiddler, MD
• Shelby Fideler

• Clinic/Center in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.