Active NPI
Frederick Ashley Clary, DC
- Neurology Chiropractor
- Roseville, MN
National Provider Identifier
1336101674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 2898
- Practice address
- 1752 Lexington Ave N
Roseville, MN 55113-6516 - Phone
- (651) 487-5950
- Fax
- (651) 487-6016
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 2898 | MN | Primary |
Addresses
Primary practice location
1752 Lexington Ave N
Roseville, MN 55113-6516
Mailing address
1752 Lexington Ave N
Roseville, MN 55113-6516
Phone (651) 487-5950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02B04AD | Other | MN | BLUECROSS BLUESHIELD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1336101674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1752 LEXINGTON AVE N",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551136516",
"telephone_number": "651-487-5950",
"fax_number": "651-487-6016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1752 LEXINGTON AVE N",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551136516",
"telephone_number": "651-487-5950",
"fax_number": "651-487-6016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARY",
"first_name": "FREDERICK",
"middle_name": "ASHLEY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "MN",
"license": "2898",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "02B04AD",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.