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DR. KRISTIN KAE FENDEL D.C.
NPI 1225006216
Chiropractor in Middleton, ID

Active since March 08, 2006
111 W MAIN ST, MIDDLETON, ID 83644(208) 899-2856(208) 585-6431 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kristin Kae Fendel D.c. NPPES

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

DR. KRISTIN KAE FENDEL D.C. (NPI 1225006216) is an individual chiropractor in Middleton, Idaho, licensed in Idaho (CHIA-1807) and active in the NPI registry since March 2006. She is a graduate of Los Angeles College Of Chiropractic (1980).

NPPES Registry Identity

NPI1225006216
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. KRISTIN KAE FENDELCredential: D.C.
Location Address111 W MAIN STMiddleton, ID 83644-5637
Mailing Address111 W Main StMiddleton, ID 83644-5637 · (510) 329-1482 · Fax (208) 585-6431
Phone(208) 899-2856
Fax(208) 585-6431
Sole ProprietorYes
Medical School CMSLos Angeles College Of ChiropracticGraduated 1980
Enumeration DateMarch 8, 2006
Last NPPES UpdateMarch 16, 2021
NPPES CertifiedMarch 16, 2021
✔ NPI 1225006216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in ID · CHIA-1807✔ Licensed in CA · 13513
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.

111 W MAIN ST, Middleton, ID 83644
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kristin Kae Fendel D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577688498
PECOS Enrollment IDI20210505002470

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 Kristin Fendel's NPI number?

The NPI number for Kristin Fendel is 1225006216. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Kristin Fendel located?

Kristin Fendel practices at 111 W Main St, Middleton, ID 83644. The listed phone number is (208) 899-2856.

What is Kristin Fendel's specialty?

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

Is Kristin Fendel enrolled in Medicare?

Yes. Kristin Fendel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristin Fendel was last updated on March 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.