Organization Active NPI

Freitag Family Chiropractic LLC

Doing business as Freitag Family Chiropractic

  • Chiropractor
  • Bloomington, MN
National Provider Identifier
1427633080
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FREITAG FAMILY CHIROPRACTIC LLC
Doing business as
Freitag Family Chiropractic
Practice address
140 W 98TH St Ste 111
Bloomington, MN 55420-3815
Phone
(952) 818-2485
Fax
(952) 479-9951
NPI assigned
Mar 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Authorized official

Name
Dr. Gregory Michael Freitag, DC
Title
Owner / Chiropractor
Phone
(952) 818-2485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

140 W 98TH St Ste 111
Bloomington, MN 55420-3815

Mailing address

140 W 98TH St Ste 111
Bloomington, MN 55420-3815
Phone (952) 818-2485

Other identifiers 1

IdentifierTypeStateIssuer
7002489OtherMNMINNESOTA BUSINESS REGISTRATION ID

Other names 1

  • Freitag Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

140 W 98th St
Ste 111
Bloomington, MN 55420
Phone (952) 818-2485

200 W 98th St
Ste 105
Bloomington, MN 55420
Phone (952) 818-2485

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1427633080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 98TH ST STE 111",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554203815",
            "telephone_number": "952-818-2485",
            "fax_number": "952-479-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W 98TH ST STE 111",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554203815",
            "telephone_number": "952-818-2485",
            "fax_number": "952-479-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREITAG FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "FREITAG",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER / CHIROPRACTOR",
        "authorized_official_telephone_number": "952-818-2485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA BUSINESS REGISTRATION ID",
            "identifier": "7002489",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freitag Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Freitag Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.