Active NPI
Daniel J. Fonke, D.C.
- Chiropractor
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2551
- Practice address
- 3132 Battleground Ave
Greensboro, NC 27408-1914 - Phone
- (336) 545-3132
- Fax
- (336) 545-0571
- NPI assigned
- Jun 10, 2006
- Last updated
- Sep 22, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 2551 | NC | Primary |
Addresses
Primary practice location
3132 Battleground Ave
Greensboro, NC 27408-1914
Mailing address
3132 Battleground Ave Ste a
Greensboro, NC 27408-1915
Phone (336) 545-3132
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890826W | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2551 | NC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greensboro Chiropractic Inc | Chiropractor | Current | Accepting new patients |
| High Point Chiropractic Inc | Chiropractor | Current | Accepting new patients |
| Daniel John Fonke | Chiropractor | Past | Accepting new patients |
Locations
2006 New Garden Rd
Ste 204
Greensboro, NC 27410
Phone (336) 545-3132
3132 Battleground Ave
Ste A
Greensboro, NC 27408
Phone (336) 545-3132
1220 Eastchester Dr
Ste 107
High Point, NC 27265
Phone (336) 307-4032
1623 York Ave
Ste 101
High Point, NC 27265
Phone (336) 882-2434
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Greensboro, NC
- NPI 1447397989
-
- Chiropractor
- High Point, NC
- NPI 1750396198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222041600000",
"number": "1982646659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3132 BATTLEGROUND AVE STE A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274081915",
"telephone_number": "336-545-3132",
"fax_number": "336-545-0571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3132 BATTLEGROUND AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274081914",
"telephone_number": "336-545-3132",
"fax_number": "336-545-0571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONKE",
"first_name": "DANIEL",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2008-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2551",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890826W",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.