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DAVID FENDERSON
NPI 1013638048
Chiropractor in Indianapolis, IN

Active since September 07, 2022Accepts Medicare Assignment
1460 W 86TH ST, INDIANAPOLIS, IN 46260(317) 679-1858 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About David Fenderson NPPES

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

DAVID FENDERSON (NPI 1013638048) is an individual chiropractor in Indianapolis, Indiana, licensed in Indiana (08003322A) and active in the NPI registry since September 2022. He is a graduate of Logan College Of Chiropractic (2021).

NPPES Registry Identity

NPI1013638048
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDAVID FENDERSON
Location Address1460 W 86TH STIndianapolis, IN 46260-2181
Mailing Address12535 Talon Crest DrFishers, IN 46037-4003
Phone(317) 679-1858
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2021
Enumeration DateSeptember 7, 2022
NPPES CertifiedSeptember 7, 2022
✔ NPI 1013638048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IN · 08003322A
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.
1460 W 86TH ST, Indianapolis, IN 46260
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Fenderson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577949452
PECOS Enrollment IDI20220929002178

Medicare Billing Reassignment

Medicare enrollment records show David Fenderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Indy Family Chiropractic LLC
2.5 mi
Chiropractor
3940 W 96TH ST
Indianapolis, IN 46268
  • Reassigned Medicare billing, Indiana enrollment
  • 6 clinicians in this Medicare group
NPI 1669893954 (317) 749-0677

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
131 services32 patients
Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
124 services27 patients

Other Providers at the Same Location NPPES

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

TRACI GROSS DC
Chiropractor
1460 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 749-0677

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 David Fenderson's NPI number?

The NPI number for David Fenderson is 1013638048. It was assigned to this individual provider in the NPPES registry on September 7, 2022.

Where is David Fenderson located?

David Fenderson practices at 1460 W 86th St, Indianapolis, IN 46260. The listed phone number is (317) 679-1858.

What is David Fenderson's specialty?

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

Is David Fenderson enrolled in Medicare?

Yes. David Fenderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for David Fenderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Fenderson reassigns Medicare benefits to Indy Family Chiropractic LLC (Indianapolis, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Fenderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Fenderson was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.