Individual provider Active NPI

Steven Max Froeschl, D.C.

  • Sports Physician Chiropractor
  • Dunnellon, FL
National Provider Identifier
1366539322
Registry record updated Sep 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
X010284 Issued in NY
Practice address
5030 W Romeo LN
Dunnellon, FL 34433-4734
Phone
(631) 965-2903
NPI assigned
Oct 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X X010284 NY
Radiology Chiropractor 111NR0200X X010284 NY
Rehabilitation Chiropractor 111NR0400X X010284 NY
Sports Physician Chiropractor 111NS0005X X010284 NY Primary

Addresses

Primary practice location

5030 W Romeo LN
Dunnellon, FL 34433-4734

Mailing address

5030 W Romeo LN
Dunnellon, FL 34433-4734
Phone (631) 965-2903

Other practice location 1

125 Trout Brook Ln
Riverhead, NY 11901
Phone (631) 965-2903

Other practice location 2

125 Trout Brook Ln
Riverhead, NY 11901
Phone (631) 965-2903

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

State licenses

LicenseStateTypeSpecialty
X010284NYMDRadiology Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599264000000",
    "number": "1366539322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 W ROMEO LN",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344334734",
            "telephone_number": "631-965-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 W ROMEO LN",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344334734",
            "telephone_number": "631-965-2903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Trout Brook Ln",
            "address_purpose": "LOCATION",
            "city": "Riverhead",
            "state": "NY",
            "postal_code": "11901",
            "country_code": "US",
            "telephone_number": "631-965-2903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Trout Brook Ln",
            "address_purpose": "LOCATION",
            "city": "Riverhead",
            "state": "NY",
            "postal_code": "11901",
            "country_code": "US",
            "telephone_number": "631-965-2903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROESCHL",
        "first_name": "STEVEN",
        "middle_name": "MAX",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-09-05",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NY",
            "license": "X010284",
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "NY",
            "license": "X010284",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NY",
            "license": "X010284",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X010284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunnellon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.