Clinton Troy Frye, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38011010 Issued in IL

Practice address

2110 Troy Rd Ste B
Edwardsville, IL 62025-2549

Phone

(618) 692-1800

Fax

(618) 692-1853

NPI assigned

Aug 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Frye Chiropractic and Laser Center LLCGroup PAC ID 0547356602, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Frye Chiropractic and Laser Center LLC

  • Chiropractor
  • Glen Carbon, IL
  • NPI 1407043714
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1154515674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 TROY RD STE B",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620252549",
            "telephone_number": "618-692-1800",
            "fax_number": "618-692-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 TROY RD STE B",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620252549",
            "telephone_number": "618-692-1800",
            "fax_number": "618-692-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "CLINTON",
        "middle_name": "TROY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38011010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Freiburg, LCPC
• Reiley Lynn Friedly
• Briana Frierdich, MA, CCC-SLP
• Christine Elizabeth Frisbee, RBT
• Erica Frost, PHD, RN
• Fulfilling Life PLLC
• Kaleena Galletta, FNP-C
• Janet L Gann, LCPC
• Tricia Lynn Garber, SLP
• Teresa Marie Garbett, RPH

• Chiropractor in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.