Cullen Ferdarko

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0008365 Issued in CO

Practice address

2412 Patterson Rd Ste 5
Grand Junction, CO 81505-1259

Phone

(717) 935-5916

NPI assigned

Jun 15, 2021

Last updated

Jun 15, 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 CO

Enrollment records 1

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.

• Empowered Chiropractic

  • Chiropractor
  • Grand Junction, CO
  • NPI 1386336881
  Medicare reassignment NPD

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1902474182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 21 RD",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815219319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 PATTERSON RD STE 5",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051259",
            "telephone_number": "717-935-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERDARKO",
        "first_name": "CULLEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "0008365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micah Feller
• Susanne Christine Feller, M.D.
• Harold Alan Fenster, MD
• Brad A Fenter, DPT
• Duane Lee Fenton, PA-C
• Mark Allen Ferdarko, D.C.
• Rebecca Ferguson, RN,BSN
• Tamie Ferguson, RN
• Dylan Fernandez
• Benjamin Kirby Ferrell, APN

• Chiropractor in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.