Anthony Wayne Fairchild Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-05115 Issued in OH

Practice address

100 Stadium Dr
Defiance, OH 43512-4614

Phone

(419) 439-2758

NPI assigned

Aug 5, 2021

Last updated

Aug 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Defiance Chiropractic Center IncGroup PAC ID 4284813981, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Defiance Chiropractic Center, Inc.

  • Chiropractor
  • Defiance, OH
  • NPI 1821178542
  Medicare reassignment Care Compare group NPD
• Fairchild Family Chiropractic, LLC

  • Chiropractor
  • Defiance, OH
  • NPI 1083375802
  Medicare reassignment NPD Authorized official
• Henry County Hospital Inc

  • Critical Access Hospital
  • Napoleon, OH
  • NPI 1407880909
  NPD (past)

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1891469599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6149 GLENBURG RD",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435129773",
            "telephone_number": "419-439-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STADIUM DR",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435124614",
            "telephone_number": "419-439-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRCHILD",
        "first_name": "ANTHONY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Evers
• Rosa Evers, RN
• Everside Health, LLC
• Eye Surgeon Associates, Inc.
• Fairchild Family Chiropractic, LLC
• Kayla May Fairchild, DC
• Fauster Cameron Inc. (Defiance Clinic)
• Fauster Cameron Inc., Dba Defiance Clinic
• Gary A Ferree, LISW
• Taylor Fisher, LMT

• Chiropractor in Defiance, OH
• Providers in Defiance, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.