Active NPI
Thomas A Freeman, D.C.
- Chiropractor
- Winston Salem, NC
National Provider Identifier
1154342830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3069
- Practice address
- 458 Knollwood St
Winston Salem, NC 27103-3426 - Phone
- (336) 765-9292
- Fax
- (336) 794-7473
- NPI assigned
- Jul 21, 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 | 3069 | NC | Primary |
Addresses
Primary practice location
458 Knollwood St
Winston Salem, NC 27103-3426
Mailing address
2860 Beckwood Dr
Winston Salem, NC 27103-5413
Phone (336) 765-4917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085JG | Other | NC | BCBS PROV NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3069 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154342830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 BECKWOOD DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271035413",
"telephone_number": "336-765-4917",
"fax_number": "336-794-7473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "458 KNOLLWOOD ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033426",
"telephone_number": "336-765-9292",
"fax_number": "336-794-7473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "THOMAS",
"middle_name": "A",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3069",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROV NUMBER",
"identifier": "085JG",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.