Individual provider Active NPI

Christopher Robert Frykman, D.C.

  • Chiropractor
  • Wayzata, MN
National Provider Identifier
1467508093
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4647 Issued in MN
Practice address
18258 Minnetonka Blvd, Wayzata MN 55392
Wayzata, MN 55391-2601
Phone
(612) 516-3772
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4647 MN Primary

Addresses

Primary practice location

18258 Minnetonka Blvd, Wayzata MN 55392
Wayzata, MN 55391-2601

Mailing address

20801 Aztec St NW
Anoka, MN 55303-8847
Phone (612) 516-3772

Other identifiers 2

IdentifierTypeStateIssuer
490031600OtherMNMEDICAL ASSISTANCE
2427076OtherMNRN

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

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1467508093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20801 AZTEC ST NW",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553038847",
            "telephone_number": "612-516-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18258 MINNETONKA BLVD, WAYZATA MN 55392",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553912601",
            "telephone_number": "612-516-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYKMAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "490031600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "2427076",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayzata, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.