Active NPI
Freije Chiropractic Center P.C.
- Chiropractor
- Devils Lake, ND
National Provider Identifier
1417155342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 532
- Legal business name
- FREIJE CHIROPRACTIC CENTER P.C.
- Practice address
- 204 College Dr N
Devils Lake, ND 58301-2925 - Phone
- (701) 662-3443
- Fax
- (701) 526-3688
- NPI assigned
- Jul 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bonie K Freije, CD
- Title
- Doctor of Chiropractic
- Phone
- (701) 662-3443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 532 | ND | Primary |
Addresses
Primary practice location
204 College Dr N
Devils Lake, ND 58301-2925
Mailing address
204 College Dr N
Devils Lake, ND 58301-2925
Phone (701) 662-3443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01029001 | Other | ND | BLE CROSS BLUE SHEILD NUM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1123 College Dr N
Devils Lake, ND 58301
Phone (701) 662-3443
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Devils Lake, ND
- NPI 1265430466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214179200000",
"number": "1417155342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 COLLEGE DR N",
"city": "DEVILS LAKE",
"state": "ND",
"postal_code": "583012925",
"telephone_number": "701-662-3443",
"fax_number": "701-526-3688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 COLLEGE DR N",
"city": "DEVILS LAKE",
"state": "ND",
"postal_code": "583012925",
"telephone_number": "701-662-3443",
"fax_number": "701-526-3688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREIJE CHIROPRACTIC CENTER P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-03",
"last_updated": "2008-06-23",
"status": "A",
"authorized_official_last_name": "FREIJE",
"authorized_official_first_name": "BONIE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
"authorized_official_telephone_number": "701-662-3443",
"authorized_official_credential": "CD"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "ND",
"license": "532",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLE CROSS BLUE SHEILD NUM",
"identifier": "01029001",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Devils Lake, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.