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DR. CULLEN FAHEY
NPI 1457865313
Chiropractor in Prior Lake, MN

Active since November 29, 2017PECOS Enrolled
16197 MAIN AVE SE, PRIOR LAKE, MN 55372(815) 245-1018 Get Directions Write a Review

NPPES record last updated: March 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 16, 2020, Nov 29, 2017 (2 updates tracked since 2017).

About Dr. Cullen Fahey NPPES

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

DR. CULLEN FAHEY (NPI 1457865313) is an individual chiropractor in Prior Lake, Minnesota, licensed in Minnesota (6403) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457865313
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. CULLEN FAHEY
Location Address16197 MAIN AVE SEPrior Lake, MN 55372-1704
Mailing Address300 S Jackson St, Ste 105Denver, CO 80209-3131 · (303) 474-4811 · Fax (720) 750-6604
Phone(815) 245-1018
Sole ProprietorNo
Enumeration DateNovember 29, 2017
Last NPPES UpdateMarch 16, 20202 updates tracked since enumeration
NPPES CertifiedMarch 16, 2020
✔ NPI 1457865313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in MN · 6403✔ Licensed in CO · CHR.0007951
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.

16197 MAIN AVE SE, Prior Lake, MN 55372
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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. Cullen Fahey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

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

ADVANTAGE CHIROPRACTIC AND WELLNESS
Clinic/Center
16197 MAIN AVE SE
PRIOR LAKE, MN 55372
Scott County (815) 245-1018
PRIOR LAKE SPINE HEALTH & INJURY CENTER, PLLC
Chiropractor
16197 MAIN AVE SE
PRIOR LAKE, MN 55372
Scott County (952) 226-5100
DR. JOSHUA R RICKERT D.C.
Chiropractor
16197 MAIN AVE SE
PRIOR LAKE, MN 55372
Scott County (952) 226-5100

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 Cullen Fahey's NPI number?

The NPI number for Cullen Fahey is 1457865313. It was assigned to this individual provider in the NPPES registry on November 29, 2017.

Where is Cullen Fahey located?

Cullen Fahey practices at 16197 Main Ave SE, Prior Lake, MN 55372. The listed phone number is (815) 245-1018.

What is Cullen Fahey's specialty?

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

Is Cullen Fahey enrolled in Medicare?

Yes. Cullen Fahey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cullen Fahey was last updated on March 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.