Glenn Barry Frieder, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC13313 Issued in CA

Practice address

125 N Acacia Ave
#111
Solana Beach, CA 92075-1165

Phone

(858) 794-0300

Fax

(858) 794-2722

NPI assigned

May 17, 2007

Last updated

Sep 10, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1979

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Glenn Frieder Chiropractic Corporation

  dba Acacia Health Center

  • Chiropractor
  • Solana Beach, CA
  • NPI 1760687701
  Medicare reassignment NPD Authorized official
• Integrative Wellness Medical Group

  • Family Medicine Physician
  • Solana Beach, CA
  • NPI 1609211648

  Chiropractor

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1003023839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N ACACIA AVE",
            "address_2": "#111",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751165",
            "telephone_number": "858-794-0300",
            "fax_number": "858-794-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N ACACIA AVE",
            "address_2": "#111",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751165",
            "telephone_number": "858-794-0300",
            "fax_number": "858-794-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDER",
        "first_name": "GLENN",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC13313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Ajlouny Ford, PSY.D.
• Athanasios James Foster, M.D.
• Blair S Foster, PT, DPT
• Michael A Foyle, OD
• Alexandra French, PA-C
• Malia Kimi Fujita, DPT
• Erin Elizabeth Fulmer, PHARMD
• G3 Physical Therapy and Wellness Center PC
• Elona Alexandrovna Gaball, D.D.S.
• Shana Alina Gallup, D.C.

• Chiropractor in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.