Individual provider Active NPI

Chad Faaborg, DC

  • Chiropractor
  • Bellingham, WA
National Provider Identifier
1922434166
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 60397489 Issued in WA
Practice address
412 Girard St
Bellingham, WA 98225-4004
Phone
(360) 734-9525
Fax
(360) 734-9505
NPI assigned
Sep 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 60397489 WA Primary

Addresses

Primary practice location

412 Girard St
Bellingham, WA 98225-4004

Mailing address

412 Girard St
Bellingham, WA 98225-4004
Phone (360) 734-9525

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

State licenses

LicenseStateTypeSpecialty
CH 60397489WAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1922434166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 GIRARD ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254004",
            "telephone_number": "360-734-9525",
            "fax_number": "360-734-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 GIRARD ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254004",
            "telephone_number": "360-734-9525",
            "fax_number": "360-734-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAABORG",
        "first_name": "CHAD",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 60397489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.