Organization Active NPI

Fonder Chiropractic Inc.

  • Chiropractor
  • Fredericksburg, TX
National Provider Identifier
1942467477
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3094 Issued in TX
Legal business name
FONDER CHIROPRACTIC INC.
Practice address
113 E Grothe St
Fredericksburg, TX 78624-3522
Phone
(830) 997-7340
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Authorized official

Name
Dr. James Paul Fonder, DCNPI 1386703759
Title
Doctor
Phone
(830) 997-7340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3094 TX Primary

Addresses

Primary practice location

113 E Grothe St
Fredericksburg, TX 78624-3522

Mailing address

113 E Grothe St
Fredericksburg, TX 78624-3522
Phone (830) 997-7340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090203000118 TX Part B Supplier - Clinic/Group Practice 5991869141 Receives reassigned benefits from 1 practitioner
Practice locations: Fredericksburg, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1942467477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E GROTHE ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786243522",
            "telephone_number": "830-997-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E GROTHE ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786243522",
            "telephone_number": "830-997-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONDER CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "FONDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "830-997-7340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "3094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.