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KEVIN MARK FASOLINO DC
NPI 1710416102
Chiropractor in Allen, TX

Active since June 08, 2017
1506 N GREENVILLE AVE STE 260, ALLEN, TX 75002(469) 404-5253 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Dec 20, 2018, Jun 8, 2017 (3 updates tracked since 2017).

About Kevin Mark Fasolino Dc NPPES

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

KEVIN MARK FASOLINO DC (NPI 1710416102) is an individual chiropractor in Allen, Texas, licensed in Texas (13427) and active in the NPI registry since June 2017. He maintains a secondary practice location in Plano and is a graduate of Other (2016).

NPPES Registry Identity

NPI1710416102
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameKEVIN MARK FASOLINOCredential: DC
Location Address1506 N GREENVILLE AVE STE 260Allen, TX 75002
Mailing Address1506 N Greenville Ave Ste 260Allen, TX 75002-8697 · (469) 404-5253
Phone(469) 404-5253
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 8, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1710416102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · 13427
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.
1506 N GREENVILLE AVE STE 260, Allen, TX 75002
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Secondary Practice Location 1

Location 16200 Chase Oaks Blvd, Suite 104Plano, TX 75023 · Phone (469) 467-1125

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Mark Fasolino Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668740663
PECOS Enrollment IDI20170615001738

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 Kevin Fasolino's NPI number?

The NPI number for Kevin Fasolino is 1710416102. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Kevin Fasolino located?

Kevin Fasolino practices at 1506 N Greenville Ave Ste 260, Allen, TX 75002. The listed phone number is (469) 404-5253.

What is Kevin Fasolino's specialty?

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

Is Kevin Fasolino enrolled in Medicare?

Yes. Kevin Fasolino is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Fasolino was last updated on July 21, 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.