Individual provider Active NPI

Frederic Falentin, DC

  • Chiropractor
  • New Ulm, MN
National Provider Identifier
1144306499
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3154 Issued in MN
Practice address
1510 N Broadway St
New Ulm, MN 56073-1235
Phone
(507) 359-4374
Fax
(507) 359-4686
NPI assigned
Oct 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3154 MN Primary

Addresses

Primary practice location

1510 N Broadway St
New Ulm, MN 56073-1235

Mailing address

PO Box 533
New Ulm, MN 56073-0533
Phone (507) 359-4374

Other identifiers 3

IdentifierTypeStateIssuer
986020700OtherMNMINNESOTA HEALTH CARE PRO
269K5BROtherMNBLUE CROSS BLUE SHIELD
231702OtherMNAMERICAN CHIRO. NETWORK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040519000032 MN Practitioner - Chiropractic 7911997291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broadway Chiropractic PAGroup PAC ID 6406846781, 2 clinicians

Practice addresses (Care Compare)

1510 N Broadway St
New Ulm, MN 56073-1235
Phone (507) 359-4374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Broadway Chiropractic PA Chiropractor CurrentSince Apr 1, 2004 Accepting new patients

Locations

1510 N Broadway St
New Ulm, MN 56073
Phone (507) 217-0918

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.

NPI Registry JSON

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144306499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 533",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560730533",
            "telephone_number": "507-359-4374",
            "fax_number": "507-359-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 N BROADWAY ST",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560731235",
            "telephone_number": "507-359-4374",
            "fax_number": "507-359-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALENTIN",
        "first_name": "FREDERIC",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA HEALTH CARE PRO",
            "identifier": "986020700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "269K5BR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN CHIRO. NETWORK",
            "identifier": "231702",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Ulm, MN

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.

Verify at the official NPI Registry.