FENTON FAMILY CHIROPRACTIC
NPI 1164690806
Chiropractor in Fenton, MI
About Fenton Family Chiropractic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FENTON FAMILY CHIROPRACTIC (NPI 1164690806) is a healthcare organization registered as a chiropractor in Fenton, Michigan and active in the NPI registry since February 2008. The organization lists Richard P Stork, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fenton Family Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Fenton Family Chiropractic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Richard P. Stork D.C. PLLC's NPI number?
The NPI number for Richard P. Stork D.C. PLLC is 1164690806. It was assigned to this organization in the NPPES registry on February 15, 2008. The provider is doing business as Fenton Family Chiropractic.
Where is Richard P. Stork D.C. PLLC located?
Richard P. Stork D.C. PLLC is located at 1549 N Leroy St Ste. B, Fenton, MI 48430. The listed phone number is (810) 629-2757.
What is Richard P. Stork D.C. PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Richard P. Stork D.C. PLLC enrolled in Medicare?
Yes. Richard P. Stork D.C. PLLC is registered in the Medicare PECOS enrollment system.
When is Richard P. Stork D.C. PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Richard P. Stork D.C. PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Richard P. Stork D.C. PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Richard P. Stork D.C. PLLC was last updated on April 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Fenton Family Chiropractic · NPI 1164690806
Chiropractor organization in Fenton, Michigan. Organization record, active in the CMS NPPES registry since February 15, 2008.
## Identity
- **NPI:** 1164690806 (Entity type: Organization)
- **Enumerated:** February 15, 2008
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Legal business name:** Richard P. Stork D.c. Pllc
- **Organization subpart:** No
- **Authorized official:** Richard Stork, PRESIDENT
## Practice location
- **Address:** 1549 N LEROY ST, STE. B, Fenton, MI 48430-2790
- **Phone:** (810) 629-2757 · **Fax:** (810) 629-3899
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2008
- **Other identifiers:** Medicare PIN 0P54170 (MI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1164690806) · Data from the CMS NPPES public registry.