Active NPI
David Frederick, PHD, ND, DHR, DSC
- Naturopath
- York, PA
National Provider Identifier
1306371364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 175F00000X
- Practice address
- 2340 Eastern Blvd
York, PA 17402-2897 - Phone
- (717) 344-0072
- NPI assigned
- Apr 27, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 103T00000X | NM | |
| Naturopath | 175F00000X | 175F00000X | NM | Primary |
| Homeopath | 175L00000X | 175L00000X | NM |
Addresses
Primary practice location
2340 Eastern Blvd
York, PA 17402-2897
Mailing address
2340 Eastern Blvd
York, PA 17402-2897
Phone (717) 344-0072
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103T00000X | NM | MD | Psychologist |
| 175F00000X | NM | MD | Naturopath |
| 175L00000X | NM | MD | Homeopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493251200000",
"number": "1306371364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2340 EASTERN BLVD",
"city": "YORK",
"state": "PA",
"postal_code": "174022897",
"telephone_number": "717-344-0072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 EASTERN BLVD",
"city": "YORK",
"state": "PA",
"postal_code": "174022897",
"telephone_number": "717-344-0072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICK",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PHD, ND, DHR, DSC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-27",
"last_updated": "2017-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NM",
"license": "103T00000X",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "NM",
"license": "175F00000X",
"primary": true
},
{
"code": "175L00000X",
"taxonomy_group": "",
"desc": "Homeopath",
"state": "NM",
"license": "175L00000X",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.