Fredrick Family Chiropractic P C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008214 Issued in MI

Legal business name

FREDRICK FAMILY CHIROPRACTIC P C

Practice address

2601 1St Ave N
Suite B
Escanaba, MI 49829-1304

Phone

(906) 233-9390

NPI assigned

Oct 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dawson Edward Fredrick, D.CNPI 1932167426

Title

Owner

Phone

(906) 233-9390

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dawson Edward Fredrick, DC

  • Chiropractor
  • Escanaba, MI
  • NPI 1932167426
  Medicare reassignment NPD Authorized official
• Sontino Ralphael Bedogne, D.C

  • Chiropractor
  • Escanaba, MI
  • NPI 1932226479
  NPD (past)
• Tonna Guinn Fredrick

  • Massage Therapist
  • Escanaba, MI
  • NPI 1831010362
  NPD (past)

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1275722209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 1ST AVE N",
            "address_2": "SUITE B",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291304",
            "telephone_number": "906-233-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 1ST AVE N",
            "address_2": "SUITE B",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291304",
            "telephone_number": "906-233-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDRICK FAMILY CHIROPRACTIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "FREDRICK",
        "authorized_official_first_name": "DAWSON",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-233-9390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008214",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009241",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4247060",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "950B110430",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "950B150130",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travis Edward Fairbanks, DNP
• Family Eye Care Associates of Escanaba, PC
• Fellowship Counseling and Life Coaching, LLC
• Fellowship Counseling P.C.
• Steven Harold Flath, DDS
• Dawson Edward Fredrick, DC
• Tonna Guinn Fredrick
• Virginia Freeborn, LLP
• Arthur Dale Freel, O.D.
• Michelle L Freel, LBSW

• Chiropractor in Escanaba, MI
• Providers in Escanaba, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.