Fenton Chiropractic PA

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

2041 Issued in NC

Legal business name

FENTON CHIROPRACTIC PA

Practice address

101 7TH St SW
Taylorsville, NC 28681-2409

Phone

(828) 635-7400

Fax

(828) 635-7415

NPI assigned

Jan 11, 2013

Organization subpart

No

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

Authorized official

Name

Wayne J Fenton

Title

Owner

Phone

(828) 635-7400

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1811234883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286810429",
            "telephone_number": "828-635-7400",
            "fax_number": "828-635-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 7TH ST SW",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286812409",
            "telephone_number": "828-635-7400",
            "fax_number": "828-635-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENTON CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-635-7400"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NC",
            "license": "2041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "EWNA78",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HNS",
            "identifier": "561971088",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0822G",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890822G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Care Center, P.a
• James Robert Farmer, P.T.,C.H.T.
• Mark A Faruque, MD
• Russell W Faulkenberry, M.D.
• Fenton Chiropractic PA
• Wayne John Fenton, DC
• Anna F Ferguson, RPH
• Mandy Miller Ferguson, FNP-C
• Brent James Fischer, DC
• Michael Lawrence Fisher, M.D.

• Sports Physician Chiropractor in Taylorsville, NC
• Providers in Taylorsville, NC by specialty
• Sports Physician Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.