Active NPI
Troy William Friesen, D.C.
- Chiropractor
- Brooklyn Park, MN
National Provider Identifier
1366559379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3157
- Practice address
- 4632 85TH Ave N
Brooklyn Park, MN 55443-1957 - Phone
- (763) 494-4900
- Fax
- (763) 494-4902
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- 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 | 3157 | MN | Primary |
Addresses
Primary practice location
4632 85TH Ave N
Brooklyn Park, MN 55443-1957
Mailing address
3080 Brookdale Dr
Brooklyn Park, MN 55444-1845
Phone (763) 566-6401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5862175-00 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3157 | MN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Troy William Friesen | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Brooklyn Park, MN
- NPI 1285154542
-
- Health Service Clinic/Center
- Brooklyn Park, MN
- NPI 1346363264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1366559379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3080 BROOKDALE DR",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554441845",
"telephone_number": "763-566-6401",
"fax_number": "763-585-1697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4632 85TH AVE N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554431957",
"telephone_number": "763-494-4900",
"fax_number": "763-494-4902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIESEN",
"first_name": "TROY",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3157",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5862175-00",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.