Fiebelkorn Enterpises PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5807 Issued in MN

Legal business name

FIEBELKORN ENTERPISES PA

Practice address

1250 Frontage Rd W
Stillwater, MN 55082-2103

Phone

(651) 387-8338

Fax

(651) 691-0428

NPI assigned

Jun 2, 2013

Last updated

Jun 5, 2013By 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. Matthew Wade Fiebelkorn, D.C.NPI 1699112524

Title

Owner/President

Phone

(651) 717-8321

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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.

• Matthew Wade Fiebelkorn, D.C.

  • Chiropractor
  • Stillwater, MN
  • NPI 1699112524
  Medicare reassignment NPD Authorized official
• Erik Carlson, D.C.

  • Chiropractor
  • Stillwater, MN
  • NPI 1841521077
  NPD (past)

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

{
    "created_epoch": "1370131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1821435769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BORDEAUX CT",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 FRONTAGE RD W",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550822103",
            "telephone_number": "651-387-8338",
            "fax_number": "651-691-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIEBELKORN ENTERPISES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-02",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "FIEBELKORN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "651-717-8321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Fedje-Johnston, MD
• Alyssa Fedor, MS RD
• Ryan M. Fedor, O.D.
• Marisa L Felker, PA-C
• Rebecca Jo Felknor, MA
• Matthew Wade Fiebelkorn, D.C.
• Fields of Grace Counseling and Wellness Inc
• Gabrielle Fields, DPT
• Kelsey Figg Fifield, PT, DPT
• Bailey Ann Finch

• Chiropractor in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.