Individual provider Active NPI

Matthew Clay Freudenthal, D.C.

  • Chiropractor
  • New Hope, MN
National Provider Identifier
1356646533
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5452 Issued in MN
Practice address
7514 42ND Ave N
New Hope, MN 55427-1225
Phone
(763) 746-1244
Fax
(763) 746-1246
NPI assigned
Jan 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5452 MN Primary

Addresses

Primary practice location

7514 42ND Ave N
New Hope, MN 55427-1225

Mailing address

7514 42ND Ave N
New Hope, MN 55427-1225
Phone (763) 746-1244

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140306000095 MN Practitioner - Chiropractic 3173753415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robin Center ChiropracticGroup PAC ID 7113014184, 2 clinicians

Practice addresses (Care Compare)

7514 42ND Ave N
New Hope, MN 55427-1225
Phone (763) 746-1244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5452MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robin Center Chiropractic Chiropractor CurrentSince Jan 13, 2014 Accepting new patients

Locations

7514 42nd Ave N
New Hope, MN 55427
Phone (763) 746-1244

4080 W Broadway Ave
Ste 310
Robbinsdale, MN 55422
Phone (763) 746-1244

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1356646533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7514 42ND AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554271225",
            "telephone_number": "763-746-1244",
            "fax_number": "763-746-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7514 42ND AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554271225",
            "telephone_number": "763-746-1244",
            "fax_number": "763-746-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREUDENTHAL",
        "first_name": "MATTHEW",
        "middle_name": "CLAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-19",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hope, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.