KEVIN MARK FASOLINO (NPI# 1710416102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710416102 |
| Entity Type | Individual |
| Full Name | KEVIN MARK FASOLINO |
| Credential | DC |
| Practice Address |
1506 N Greenville Ave Ste 260 Allen TX 75002 |
| Mailing Address |
1506 N Greenville Ave Ste 260 Allen TX 75002-8697 |
| Practice Telephone | 4694045253 |
| Mailing Telephone | 4694045253 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2018-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 13427 | TX | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6200 Chase Oaks Blvd, Suite 104, Plano, TX 75023 | (469) 467-1125 |
| Street Address |
1506 N GREENVILLE AVE STE 260 |
| City | ALLEN |
| State | TX |
| Zip Code | 75002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800810 | Lml Counseling Services, LLC | Community/Behavioral Health | 8505 Rasor Blvd, Plano, TX 75002 | 2020-08-05 |
| 1235779422 | Deepa Mary Mathew | Registered Nurse | 1719 Shawnee Trail, Allen, TX 75002 | 2020-01-15 |
| 1932687993 | Bec N Call Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 301 S. Cedar Drive, Allen, TX 75002 | 2018-08-01 |
| 1801388715 | Triton Medical, LLC | Durable Medical Equipment & Medical Supplies | 6800 Weiskopf Ave Suite 150, Allen, TX 75002 | 2018-06-06 |
| 1841787504 | Parley Hubler Jr Dds Pllc | Dentist | 501 S Angel Pkwy, Ste 100, Lucas, TX 75002 | 2018-04-18 |
| 1730682030 | Ks Allen Tx PC | Dentist | 121 N Greenville Ave Ste M, Allen, TX 75002 | 2018-03-13 |
| 1356842645 | Tammy Ann Eiland | Registered Nurse | 1412 Spring Street, 1412 Spring Street, Allen, TX 75002 | 2018-02-22 |
| 1770084055 | Choy Ortho-pedo Pllc | Dentist | 501 South Angel Parkway, Suite 400, Lucas, TX 75002 | 2018-02-22 |
| 1679091888 | Julie Von Gardner | Counselor | 809 Heritage Pkwy. South, Allen, TX 75002 | 2017-09-07 |
| 1255852984 | Christina Lynn Vo | Dentist | 611 Rockcrossing Ln., Allen, TX 75002 | 2017-07-03 |
| Find all providers in zip 75002 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295355717 | Joshua Rillo | Chiropractor | 204 Central Expy S Ste 45, Allen, TX 75013-8009 | 2020-04-24 |
| 1144858499 | Str8 Up Wellness | Chiropractor | 333 E Bethany Dr # K130, Allen, TX 75002-3801 | 2020-03-31 |
| 1114562535 | Konner James Ackerman | Chiropractor | 940 Ridgeview Dr Ste 100a, Allen, TX 75013-5443 | 2019-11-08 |
| 1811556251 | Tyler Winfield | Chiropractor | 610 S Watters Rd, Allen, TX 75013-5008 | 2019-06-10 |
| 1003387770 | Chiro Concepts of Allen, Pllc | Chiropractor | 610 S Watters Rd Ste 100, Allen, TX 75013-5008 | 2018-12-06 |
| 1508342494 | Our Family Chiropractor. PC | Chiropractor | 1108 N Greenville Ave Ste 115, Allen, TX 75002-1948 | 2018-07-14 |
| 1558898494 | Mackie Dawayne Gourley Jr. | Chiropractor | 190 E Stacy Rd Ste 306-397, Allen, TX 75002-8734 | 2017-05-22 |
| 1740728724 | Matthew David Moreno | Chiropractor | 940a Ridgeview Dr, 100, Allen, TX 75013 | 2017-02-09 |
| 1083152789 | M2 Chiropractic, LLC | Chiropractor | 940 Ridgeview Drive, Ste. 100, Bldg. A, Allen, TX 75013-5402 | 2017-02-02 |
| 1609235456 | Benton Ryan Cain | Chiropractor | 915 W Exchange Pkwy Ste 260, Allen, TX 75013-7033 | 2016-02-22 |
| Find all providers in ALLEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.