Organization Active NPI

Matthew Friederichs MD PLLC

Doing business as OrthoDakota

  • Sports Medicine (Orthopaedic Surgery) Physician
  • West Fargo, ND
National Provider Identifier
1013675594
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
MATTHEW FRIEDERICHS MD PLLC
Doing business as
OrthoDakota
Practice address
350 23Rd Ave E Ste 102
West Fargo, ND 58078-7402
Phone
(701) 707-0200
Fax
(701) 707-0210
NPI assigned
Dec 2, 2021
Last updated
Jun 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Matthew Friederichs, MDNPI 1790703338
Title
Owners
Phone
(701) 707-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X NU Primary

Addresses

Primary practice location

350 23Rd Ave E Ste 102
West Fargo, ND 58078-7402

Mailing address

350 23Rd Ave E Ste 102
West Fargo, ND 58078-7402
Phone (701) 707-0200

Other names 1

  • OrthoDakota Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220601000774 ND Part B Supplier - Clinic/Group Practice 5395123558 Receives reassigned benefits from 2 practitioners
Practice locations: West Fargo, ND
O20250227001320 ND DME Supplier - Physician - Orthopedic/Orthopedic Surgery 5395123558 Practice locations: West Fargo, ND

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1013675594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 23RD AVE E STE 102",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580787402",
            "telephone_number": "701-707-0200",
            "fax_number": "701-707-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 23RD AVE E STE 102",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580787402",
            "telephone_number": "701-707-0200",
            "fax_number": "701-707-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW FRIEDERICHS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "FRIEDERICHS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNERS",
        "authorized_official_telephone_number": "701-707-0200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoDakota",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.