Shad Froseth, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1172 Issued in ND

Practice address

1350 20TH Ave SW
Minot, ND 58701-6452

Phone

(701) 852-2800

NPI assigned

May 10, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Modern Chiropractic LLCGroup PAC ID 0941666408, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Modern Chiropractic LLC

  • Clinic/Center
  • Minot, ND
  • NPI 1518653690
  Medicare reassignment Care Compare group NPD Authorized official
• Cornerstone Spinal Care, Inc

  • Chiropractor
  • Minot, ND
  • NPI 1689298515
  Medicare reassignment NPD

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1235713892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 20TH AVE SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016452",
            "telephone_number": "701-852-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 20TH AVE SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016452",
            "telephone_number": "701-852-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3109 Willow Ln SE",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587017149",
            "country_code": "US",
            "telephone_number": "701-721-4696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROSETH",
        "first_name": "SHAD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-10",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "STUDENT",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "NA",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Michelle Fricke, FNP-C, APRN
• Samantha Frigstad, CRNA
• Thomas Martin Froelich, MS
• Tracy L Frosberg, LRD
• Karlie Froseth, MS, OTR/L
• Keri Jean Frueh, LPCC
• Michelle Joy Fundingsland, RD
• Lilly R Funk
• Julia R Furqueron, OTR/L
• G & G RX Inc (G & G Pharmacy - Minot)

• Chiropractor in Minot, ND
• Providers in Minot, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.