Active NPI
Jean H Fontaine, D.C.
- Rehabilitation Chiropractor
- Philadelphia, PA
National Provider Identifier
1891804498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- DC010306
- Practice address
- 7205 Rising Sun Ave
Philadelphia, PA 19111-3926 - Phone
- (215) 276-2250
- Fax
- (215) 276-2110
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1772 | AL | |
| Rehabilitation Chiropractor | 111NR0400X | DC010306 | PA | Primary |
Addresses
Primary practice location
7205 Rising Sun Ave
Philadelphia, PA 19111-3926
Mailing address
7205 Rising Sun Ave
Philadelphia, PA 19111-3926
Phone (215) 276-2250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Philly Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
| Fontaine Chiropractic Wellness Center | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Albertville, AL
- NPI 1588773097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438732800000",
"number": "1891804498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7205 RISING SUN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191113926",
"telephone_number": "215-276-2250",
"fax_number": "215-276-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7205 RISING SUN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191113926",
"telephone_number": "215-276-2250",
"fax_number": "215-276-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTAINE",
"first_name": "JEAN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2015-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "1772",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "PA",
"license": "DC010306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.