Organization Active NPI

Hans Freericks Chiropractic Corporation

  • Chiropractor
  • Fremont, CA
National Provider Identifier
1356468250
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC23807 Issued in CA
Legal business name
HANS FREERICKS CHIROPRACTIC CORPORATION
Doing business as
Discover Chiropractic
Practice address
39284 Paseo Padre Pkwy
Fremont, CA 94538-1616
Phone
(510) 797-4796
Fax
(510) 573-6316
NPI assigned
Mar 23, 2007
Reactivated
Jan 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Authorized official

Name
Dr. Hans Freericks, D.C.NPI 1942326624
Title
Owner
Phone
(510) 797-4796

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC23807 CA Primary

Addresses

Primary practice location

39284 Paseo Padre Pkwy
Fremont, CA 94538-1616

Mailing address

39284 Paseo Padre Pkwy
Fremont, CA 94538-1616
Phone (510) 797-4796

Other practice location 1

4035 E Castro Valley Blvd
Castro Valley, CA 94552-4840
Phone (510) 247-1272

Other identifiers 2

IdentifierTypeStateIssuer
2617OtherCACHIROPRACTIC LICENSE
1942326624OtherCAINDV. NPI #

Other names 1

  • Discover Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070827000724 CA Part B Supplier - Clinic/Group Practice 2567408131 Receives reassigned benefits from 1 practitioner
Practice locations: Fremont, CA

National Provider Directory

National Provider Directory

Locations

39284 Paseo Padre Pkwy
Fremont, CA 94538
Phone (510) 797-4796

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1356468250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39284 PASEO PADRE PKWY",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381616",
            "telephone_number": "510-797-4796",
            "fax_number": "510-573-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39284 PASEO PADRE PKWY",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381616",
            "telephone_number": "510-797-4796",
            "fax_number": "510-573-6316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4035 E Castro Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "Castro Valley",
            "state": "CA",
            "postal_code": "945524840",
            "country_code": "US",
            "telephone_number": "510-247-1272",
            "fax_number": "510-881-1334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HANS FREERICKS CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2019-02-05",
        "deactivation_date": "2019-01-17",
        "reactivation_date": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "FREERICKS",
        "authorized_official_first_name": "HANS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-797-4796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "2617",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDV. NPI #",
            "identifier": "1942326624",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discover Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.