Active NPI
Patricia Ann Fanning, DC
- Chiropractor
- Chestertown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S01718
- Practice address
- 932 Washington Ave
Chestertown, MD 21620-3324 - Phone
- (410) 870-0530
- Fax
- (410) 810-0200
- NPI assigned
- Dec 28, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 623 | WV | |
| Chiropractor | 111N00000X | DC 005770L | PA | |
| Chiropractor | 111N00000X | F1-0000778 | DE | |
| Chiropractor | 111N00000X | S01718 | MD | Primary |
Addresses
Primary practice location
932 Washington Ave
Chestertown, MD 21620-3324
Mailing address
932 Washington Ave
Chestertown, MD 21620-3324
Phone (410) 810-0530
Other practice location 1
1101 Twin C Lane
Ste 201
Newark, DE 19713-2159
Phone (302) 892-9355
Other practice location 2
1326 South Governors Avenue
Ste D
Dover, DE 19904-4800
Phone (302) 264-9770
Other practice location 3
757 Pulaski Highway
Ste 5
Bear, DE 19701-5214
Phone (302) 264-9770
Other practice location 4
1010 Concord Avenue
Ste 101
Wilmington, DE 19802-3366
Phone (302) 777-5551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220714001752 | DE | Practitioner - Chiropractic | 1052479425 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1-0000778 | DE | MD | Chiropractor |
| S01718 | MD | MD | Chiropractor |
| DC 005770L | PA | MD | Chiropractor |
| 623 | WV | MD | Chiropractor |
| 01718 | MD | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Schreiber, M.D. | Past | Accepting new patients |
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.
-
- General Practice Physician
- Chestertown, MD
- NPI 1215121660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1912984204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "932 WASHINGTON AVE",
"city": "CHESTERTOWN",
"state": "MD",
"postal_code": "216203324",
"telephone_number": "410-810-0530",
"fax_number": "410-810-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "932 WASHINGTON AVE",
"city": "CHESTERTOWN",
"state": "MD",
"postal_code": "216203324",
"telephone_number": "410-870-0530",
"fax_number": "410-810-0200"
}
],
"practiceLocations": [
{
"address_1": "1101 Twin C Lane",
"address_2": "Ste 201",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "DE",
"postal_code": "197132159",
"country_code": "US",
"telephone_number": "302-892-9355",
"fax_number": "302-777-5567",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1326 South Governors Avenue",
"address_2": "Ste D",
"address_purpose": "LOCATION",
"city": "Dover",
"state": "DE",
"postal_code": "199044800",
"country_code": "US",
"telephone_number": "302-264-9770",
"fax_number": "302-883-2786",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "757 Pulaski Highway",
"address_2": "Ste 5",
"address_purpose": "LOCATION",
"city": "Bear",
"state": "DE",
"postal_code": "197015214",
"country_code": "US",
"telephone_number": "302-264-9770",
"fax_number": "302-883-2786",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1010 Concord Avenue",
"address_2": "Ste 101",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198023366",
"country_code": "US",
"telephone_number": "302-777-5551",
"fax_number": "302-777-5567",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FANNING",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-28",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "623",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC 005770L",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "DE",
"license": "F1-0000778",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S01718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chestertown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.