Active NPI
Hans Freericks Chiropractic Corporation
- Chiropractor
- Fremont, CA
National Provider Identifier
1356468250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC23807
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hans Freericks, D.C.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2617 | Other | CA | CHIROPRACTIC LICENSE |
| 1942326624 | Other | CA | INDV. NPI # |
Other names 1
- Discover Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
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- NPI 1619911377
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- NPI 1063507994
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- NPI 1609993880
-
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- NPI 1700261963
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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.