FAYETTEVILLE FAMILY CHIROPRACTIC
NPI 1013015205
Chiropractor in Fayetteville, NC

Active since September 20, 2006
205 OWEN DR, FAYETTEVILLE, NC 28304(910) 484-5999(910) 484-2523 Get Directions Write a Review

NPPES record last updated: October 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fayetteville Family Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAYETTEVILLE FAMILY CHIROPRACTIC (NPI 1013015205) is a healthcare organization registered as a chiropractor in Fayetteville, North Carolina and active in the NPI registry since September 2006. The organization lists Jerome E Fonke, President, as its authorized official.

NPPES Registry Identity

NPI1013015205
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameFAYETTEVILLE CHIROPRACTIC
Location Address205 OWEN DRFayetteville, NC 28304-3409
Mailing Address424 Graylyn PlFayetteville, NC 28314-2630 · (910) 864-8180
Fax(910) 484-2523
Organization SubpartNo
Authorized OfficialJerome E FonkePresident · (910) 484-5999
Enumeration DateSeptember 20, 2006
Last NPPES UpdateOctober 13, 2015
NPI 1013015205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NC · 1875
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
205 OWEN DR, Fayetteville, NC 28304

Other Names 1

Doing Business AsFayetteville Family Chiropractic

Other Identifiers 4

Medicare UPINU33454NC
Other0840GNC · Bcbs Of Nc
Medicaid890823WNC
Medicare ID-Type Unspecified2449618NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
205 OWEN DR
FAYETTEVILLE, NC 28304
Speech-Language Pathologist
205 OWEN DR
FAYETTEVILLE, NC 28304
Chiropractor
205 OWEN DR
FAYETTEVILLE, NC 28304
Speech-Language Pathologist
205 OWEN DR
FAYETTEVILLE, NC 28304
Chiropractor
205 OWEN DR
FAYETTEVILLE, NC 28304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fayetteville Chiropractic's NPI number?

The NPI number for Fayetteville Chiropractic is 1013015205. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Fayetteville Family Chiropractic.

Where is Fayetteville Chiropractic located?

Fayetteville Chiropractic is located at 205 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 484-5999.

What is Fayetteville Chiropractic's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Fayetteville Chiropractic was last updated on October 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.