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JUSTIN FENNELL
NPI 1508435660
Chiropractor in Van Alstyne, TX

Active since June 23, 2021
170 N MAIN ST, VAN ALSTYNE, TX 75495(972) 400-0024 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Fennell NPPES

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

JUSTIN FENNELL (NPI 1508435660) is an individual chiropractor in Van Alstyne, Texas, licensed in Texas (14614) and active in the NPI registry since June 2021. He is a graduate of Other (2020).

NPPES Registry Identity

NPI1508435660
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJUSTIN FENNELL
Location Address170 N MAIN STVan Alstyne, TX 75495-9700
Mailing Address170 N Main StVan Alstyne, TX 75495-9700 · (972) 400-0024
Phone(972) 400-0024
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJune 23, 2021
NPPES CertifiedJune 23, 2021
✔ NPI 1508435660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · 14614
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.
170 N MAIN ST, Van Alstyne, TX 75495
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Fennell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496151276
PECOS Enrollment IDI20210901004115

Other Providers at the Same Location NPPES

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

DR. ALEX CASTRO DC
Chiropractor
170 N MAIN ST
VAN ALSTYNE, TX 75495
Grayson County (903) 482-1234

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 Justin Fennell's NPI number?

The NPI number for Justin Fennell is 1508435660. It was assigned to this individual provider in the NPPES registry on June 23, 2021.

Where is Justin Fennell located?

Justin Fennell practices at 170 N Main St, Van Alstyne, TX 75495. The listed phone number is (972) 400-0024.

What is Justin Fennell's specialty?

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

Is Justin Fennell enrolled in Medicare?

Yes. Justin Fennell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Fennell was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.