Individual provider Active NPI

Daniel J. Fonke, D.C.

  • Chiropractor
  • Greensboro, NC
National Provider Identifier
1982646659
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2551 Issued in NC
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
890826WMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040318001503 NC Practitioner - Chiropractic 5890684278 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2551NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greensboro Chiropractic Inc Chiropractor CurrentSince Sep 6, 2005 Accepting new patients
High Point Chiropractic Inc Chiropractor CurrentSince Oct 15, 2003 Accepting new patients
Daniel John Fonke Chiropractor PastSince Jun 1, 2019 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.

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.

Verify at the official NPI Registry.