Active NPI
Toni Frederick-Dakin, D.C.
- Chiropractor
- Kensett, IA
National Provider Identifier
1366422719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 05000
- Practice address
- 813 Elm St.
Kensett, IA 50448-0098 - Phone
- (641) 845-2405
- Fax
- (641) 845-2405
- NPI assigned
- Jan 20, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 05000 | IA | Primary |
Addresses
Primary practice location
813 Elm St.
Kensett, IA 50448-0098
Mailing address
813 Elm St.
PO Box 98
Kensett, IA 50448-0098
Phone (641) 845-2405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46061 | Other | IA | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1366422719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 ELM ST.",
"address_2": "PO BOX 98",
"city": "KENSETT",
"state": "IA",
"postal_code": "504480098",
"telephone_number": "641-845-2405",
"fax_number": "641-845-2405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 ELM ST.",
"city": "KENSETT",
"state": "IA",
"postal_code": "504480098",
"telephone_number": "641-845-2405",
"fax_number": "641-845-2405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICK-DAKIN",
"first_name": "TONI",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-20",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "05000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "46061",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.