Active NPI
Jeremy Fritz
- Chiropractor
- Mequon, WI
National Provider Identifier
1114136041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3832-012
- Practice address
- 11124 N Cedarburg Rd
Suite 240
Mequon, WI 53092-4361 - Phone
- (262) 512-1874
- NPI assigned
- May 21, 2007
- Last updated
- Jul 8, 2007
- 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 | 3832-012 | WI | Primary |
Addresses
Primary practice location
11124 N Cedarburg Rd
Suite 240
Mequon, WI 53092-4361
Mailing address
223 Green Bay Rd
Apt. D
Thiensville, WI 53092-1654
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3832-012 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114136041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 GREEN BAY RD",
"address_2": "APT. D",
"city": "THIENSVILLE",
"state": "WI",
"postal_code": "530921654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11124 N CEDARBURG RD",
"address_2": "SUITE 240",
"city": "MEQUON",
"state": "WI",
"postal_code": "530924361",
"telephone_number": "262-512-1874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRITZ",
"first_name": "JEREMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3832-012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mequon, WI
- Roberta Jean Friederichs, RN
- Sidney Harold Friedman, D.D.S.
- Louisa Frimpong
- Brittany Frisque, NP-C
- Alexa Joyce Fritsch
- Froedtert & the Medical College of Wisconsin Community Physicians
- Froedtert &the Medical College of Wisconsin Community Physicians, Inc.
- Froedtert Health Neighborhood Hospital, LLC (Froedtert Community Hospital)
- Froedtert Health Pharmacy LLC (Froedtert Pharmacy 300)
- Froedtert Memorial Lutheran Hospital, Inc. (Froedtert & MCW Mequon Health Center Remote Dispensing Site)
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.