Frederick Chiropractic Center P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-04513 Issued in KS

Legal business name

FREDERICK CHIROPRACTIC CENTER P.A.

Practice address

1305 Wheatland Dr
Hutchinson, KS 67502

Phone

(620) 662-8300

Fax

(620) 662-8304

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Keith A Frederick, D.C.NPI 1831136415

Title

Doctor of Chiropractic/ Owner

Phone

(620) 662-8800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

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

• Keith A Frederick, D.C.

  • Chiropractor
  • Hutchinson, KS
  • NPI 1831136415
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1366498495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WHEATLAND DR",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "67502",
            "telephone_number": "620-662-8300",
            "fax_number": "620-662-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WHEATLAND DR",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "67502",
            "telephone_number": "620-662-8300",
            "fax_number": "620-662-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK CHIROPRACTIC CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/ OWNER",
        "authorized_official_telephone_number": "620-662-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201280270A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dan Foss
• Fraese Drug Company Inc
• Dolores D Francis, RN
• Ann Franco, APRN
• Fred Meyer Stores Inc
• Amy Dian Frederick, RN
• Keith A Frederick, D.C.
• Dawn Marie Gadberry, LSCSW
• Eva M Gadberry, LSCSW
• Leslie Ann Galbraith

• Chiropractor in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.