Individual provider Active NPI

Jordan Alexandra Fennelly, DC

  • Chiropractor
  • Whitefish, MT
National Provider Identifier
1831675875
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHI-CHI-LIC-5086 Issued in MT
Practice address
559 Edgewood PL
Whitefish, MT 59937-2358
Phone
(406) 730-8569
NPI assigned
Jul 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHI-CHI-LIC-5086 MT Primary

Addresses

Primary practice location

559 Edgewood PL
Whitefish, MT 59937-2358

Mailing address

559 Edgewood PL
Whitefish, MT 59937-2358
Phone (406) 249-6312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180823003279 MT Practitioner - Chiropractic 9537418595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Two Sparrows Family Chiropractic and Wellness LLCGroup PAC ID 5395173041, 2 clinicians

Practice addresses (Care Compare)

559 Edgewood PL
Whitefish, MT 59937-2358
Phone (406) 249-6312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHI-CHI-LIC-5086MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Two Sparrows Family Chiropractic & Wellness LLC Chiropractor CurrentSince Jan 29, 2021 Accepting new patients

Locations

559 Edgewood Pl
Whitefish, MT 59937
Phone (406) 730-8569

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1831675875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 EDGEWOOD PL",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372358",
            "telephone_number": "406-249-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 EDGEWOOD PL",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372358",
            "telephone_number": "406-730-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNELLY",
        "first_name": "JORDAN",
        "middle_name": "ALEXANDRA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "CHI-CHI-LIC-5086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.

Verify at the official NPI Registry.