Active NPI
Douglas L Frarey, DC
- Chiropractor
- Muskegon, MI
National Provider Identifier
1003923632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301005134
- Practice address
- 3142 Glade St
Muskegon, MI 49444-2706 - Phone
- (231) 739-8752
- NPI assigned
- Aug 23, 2006
- Last updated
- Nov 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301005134 | MI | Primary |
Addresses
Primary practice location
3142 Glade St
Muskegon, MI 49444-2706
Mailing address
3142 Glade St
Muskegon, MI 49444-2706
Phone (231) 739-8752
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1677783 | Medicaid | MI |
Other names 1
- Linda G Sloan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1003923632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3142 GLADE ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494442706",
"telephone_number": "231-739-8752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3142 GLADE ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494442706",
"telephone_number": "231-739-8752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAREY",
"first_name": "DOUGLAS",
"middle_name": "L",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301005134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1677783",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "SLOAN",
"middle_name": "G",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.