Joseph Fair Professional Chiropractic Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JOSEPH FAIR PROFESSIONAL CHIROPRACTIC CORPORATION

Doing business as

Joseph Fair Chiropractic

Practice address

1421 Standiford Ave Ste B
Modesto, CA 95350-0730

Phone

(209) 521-1122

Fax

(209) 521-4075

NPI assigned

Jul 28, 2021

Last updated

Jul 26, 2022By 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. Joseph Q Fair, D.C.NPI 1366839102

Title

Owner

Phone

(209) 521-1122

Specialties & licenses 1

Addresses

Other names 1

• Joseph Fair Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

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.

• Joseph Fair, D.C.

  • Chiropractor
  • Modesto, CA
  • NPI 1366839102
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1811660517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 STANDIFORD AVE STE B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500730",
            "telephone_number": "209-521-1122",
            "fax_number": "209-521-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 STANDIFORD AVE STE B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500730",
            "telephone_number": "209-521-1122",
            "fax_number": "209-521-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH FAIR PROFESSIONAL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "FAIR",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-521-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph Fair Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Joseph Fair Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Andrew Jordan
• Verna Jordan
• Welton E Jordan Jr.
• Jennifer Jorrick
• Jose Limon M.D. Inc.
• Joseph K Fluence
• Joseph K Fluence MD, Inc.
• Jane Rosie Joseph
• Jessy Joseph
• Rebecca Ann Joseph

• Chiropractor in Modesto, CA
• Providers in Modesto, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.