Active NPI
David R Friedman, DC
- Chiropractor
- Wilmington, NC
National Provider Identifier
1104849306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- NC1774
- Practice address
- 1033 S Kerr Ave
Wilmington, NC 28403-4312 - Phone
- (910) 350-2664
- Fax
- (910) 350-0632
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 | NC1774 | NC | Primary |
Addresses
Primary practice location
1033 S Kerr Ave
Wilmington, NC 28403-4312
Mailing address
1033 S Kerr Ave
Wilmington, NC 28403-4312
Phone (910) 350-2664
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0824X | Other | NC | BCBS |
| 890824X | Medicaid | NC | |
| 330587 | Other | NC | ACN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1033 S Kerr Ave
Wilmington, NC 28403-4312
Phone (910) 350-2664
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC1774 | NC | MD | Chiropractor |
| 1774 | NC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David R. Friedman DC PA | Chiropractor | Current | Accepting new patients |
Locations
1033 S Kerr Ave
Wilmington, NC 28403
Phone (910) 350-2664
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Wilmington, NC
- NPI 1083766364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104849306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 S KERR AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034312",
"telephone_number": "910-350-2664",
"fax_number": "910-350-0632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 S KERR AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034312",
"telephone_number": "910-350-2664",
"fax_number": "910-350-0632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "DAVID",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "NC1774",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0824X",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890824X",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "330587",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.