Active NPI
Eric Michael Fahrendorf, D.C.
- Chiropractor
- Sioux Falls, SD
National Provider Identifier
1962953026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1298
- Practice address
- 3909 S Southeastern Ave
Sioux Falls, SD 57103-7186 - Phone
- (605) 334-8000
- Fax
- (605) 330-0889
- NPI assigned
- Oct 24, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1298 | SD | Primary |
Addresses
Primary practice location
3909 S Southeastern Ave
Sioux Falls, SD 57103-7186
Mailing address
3909 S Southeastern Ave
Sioux Falls, SD 57103-7186
Phone (605) 334-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3909 S Southeastern Ave
Sioux Falls, SD 57103-7186
Phone (605) 334-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- Chiropractor
- Sioux Falls, SD
- NPI 1730631854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1962953026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3909 S SOUTHEASTERN AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571037186",
"telephone_number": "605-334-8000",
"fax_number": "605-330-0889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 S SOUTHEASTERN AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571037186",
"telephone_number": "605-334-8000",
"fax_number": "605-330-0889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHRENDORF",
"first_name": "ERIC",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-24",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SD",
"license": "1298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.