Fridley Chiropractic, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

2000161195 Issued in MO

Legal business name

FRIDLEY CHIROPRACTIC, LLC

Practice address

1126 W Pearce Blvd
Ste 114
Wentzville, MO 63385-1053

Phone

(636) 332-1769

Fax

(636) 639-9235

NPI assigned

Sep 9, 2010

Organization subpart

No

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

Authorized official

Name

Amy FridleyNPI 1437115623

Title

Single Member

Phone

(636) 332-1769

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Michelle Fridley, D.C.

  • Chiropractor
  • Wentzville, MO
  • NPI 1437115623
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1124335286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 W PEARCE BLVD",
            "address_2": "STE 114",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851053",
            "telephone_number": "636-332-1769",
            "fax_number": "636-639-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 W PEARCE BLVD",
            "address_2": "STE 114",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851053",
            "telephone_number": "636-332-1769",
            "fax_number": "636-639-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIDLEY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "FRIDLEY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "SINGLE MEMBER",
        "authorized_official_telephone_number": "636-332-1769"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MO",
            "license": "2000161195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Franer, OTR
• Kiara Franklin, LCSW
• Kristine S Franklin
• Tarah Freant
• Fresenius Medical Care St. Charles, LLC
• Amy Michelle Fridley, D.C.
• Chelsey Marie Friend, APRN, DNP
• Lowell Lawrence Fry Jr., LPC, MA
• G&H Logistics LLC
• Andrea Christine Galati-Brown, FNP

• Medical Specialty Clinic/Center in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Medical Specialty Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.