Active NPI
Clayton Christopher Frey, D.C., B.S.
- Chiropractor
- Crown Point, IN
National Provider Identifier
1235533290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002786A
- Practice address
- 714 N Main St
Crown Point, IN 46307-3236 - Phone
- (219) 308-6577
- NPI assigned
- Oct 20, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 08002786A | IN | Primary |
Addresses
Primary practice location
714 N Main St
Crown Point, IN 46307-3236
Mailing address
714 N Main St
Crown Point, IN 46307-3236
Phone (219) 308-6577
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08002786A | IN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459728000000",
"number": "1235533290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 N MAIN ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463073236",
"telephone_number": "219-308-6577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 N MAIN ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463073236",
"telephone_number": "219-308-6577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREY",
"first_name": "CLAYTON",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "D.C., B.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-20",
"last_updated": "2016-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002786A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.