Individual provider Active NPI

Patricia Ann Fanning, DC

  • Chiropractor
  • Chestertown, MD
National Provider Identifier
1912984204
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01718 Issued in MD
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

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
I20220714001752 DE Practitioner - Chiropractic 1052479425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F1-0000778DEMDChiropractor
S01718MDMDChiropractor
DC 005770LPAMDChiropractor
623WVMDChiropractor
01718MDMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Schreiber, M.D. PastSince Aug 7, 2008 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.

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.

Verify at the official NPI Registry.