Alan Fredericks, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 2842 Issued in TN

Practice address

1011 W Poplar Ave
Suite # 1
Collierville, TN 38017-2585

Phone

(901) 602-9295

NPI assigned

Mar 8, 2016

Last updated

Mar 8, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Perfect Chiropractic

  • Chiropractor
  • Collierville, TN
  • NPI 1922469485
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1386005163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W POPLAR AVE",
            "address_2": "SUITE # 1",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W POPLAR AVE",
            "address_2": "SUITE # 1",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172585",
            "telephone_number": "901-602-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICKS",
        "first_name": "ALAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC 2842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• FMSC Collierville Operating Company (Collierville Health & Rehabilitation)
• FMSC Collierville Operating Company LLC (Collierville Health and Rehabilitation Center)
• Erin Michelle Fontana, PTA
• Ira Dean Fontenot, P.D.
• Amir Victor Francis, D.D.S
• George Nathan Freeman III, DC
• Stacy Rexanna Freeman, PHARMD
• Steve A Galella, D.D.S.
• Garrett Gambill
• Jennifer Keneally Gant, FNP

• Chiropractor in Collierville, TN
• Providers in Collierville, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.