NPIMap

Organization Active NPI

David L. Frerking D.C.P.a.

Doing business as Tavares Family Chiropractic Center

  • Internist Chiropractor
  • Tavares, FL
National Provider Identifier
1265732234
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
CH3705 Issued in FL
Legal business name
DAVID L. FRERKING D.C.P.A.
Doing business as
Tavares Family Chiropractic Center
Practice address
915 E Alfred St
Tavares, FL 32778-3401
Phone
(352) 343-9275
Fax
(352) 343-4646
NPI assigned
Oct 25, 2010
Last updated
Mar 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Mr. David Lewis Frerking, D.C.NPI 1720052707
Title
Owner
Phone
(352) 343-9275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X CH3705 FL Primary

Addresses

Primary practice location

915 E Alfred St
Tavares, FL 32778-3401

Mailing address

915 E Alfred St
Tavares, FL 32778-3401
Phone (352) 343-9275

Other identifiers 1

IdentifierTypeStateIssuer
0501522-00MedicaidFL

Other names 1

  • Tavares Family Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

915 E Alfred St
Tavares, FL 32778
Phone (352) 343-9275

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1265732234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 E ALFRED ST",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783401",
            "telephone_number": "352-343-9275",
            "fax_number": "352-343-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 E ALFRED ST",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783401",
            "telephone_number": "352-343-9275",
            "fax_number": "352-343-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L. FRERKING D.C.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "FRERKING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-343-9275",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "FL",
            "license": "CH3705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0501522-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tavares Family Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tavares, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.