Organization Active NPI

Fritz Wellness, Professional Company

Doing business as Fritz Wellness Center

  • Chiropractor
  • Longmont, CO
National Provider Identifier
1487193231
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0006532 Issued in CO
Legal business name
FRITZ WELLNESS, PROFESSIONAL COMPANY
Doing business as
Fritz Wellness Center
Practice address
1749 Terry St
Longmont, CO 80501-2047
Phone
(303) 772-3982
Fax
(303) 772-0990
NPI assigned
Feb 13, 2017
Last updated
Feb 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Dr. Derek Fritz, D.C.NPI 1720390230
Title
Owner/Manager
Phone
(303) 772-3982

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0006532 CO Primary

Addresses

Primary practice location

1749 Terry St
Longmont, CO 80501-2047

Mailing address

1749 Terry St
Longmont, CO 80501-2047
Phone (303) 772-3982

Other names 1

  • Fritz Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170404001312 CO Part B Supplier - Clinic/Group Practice 2769768803 Receives reassigned benefits from 1 practitioner
Practice locations: Longmont, CO

National Provider Directory

National Provider Directory

Locations

1749 Terry St
Longmont, CO 80501
Phone (303) 772-3982

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1487193231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 TERRY ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012047",
            "telephone_number": "303-772-3982",
            "fax_number": "303-772-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 TERRY ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012047",
            "telephone_number": "303-772-3982",
            "fax_number": "303-772-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRITZ WELLNESS, PROFESSIONAL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "FRITZ",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "303-772-3982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "0006532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fritz Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.

Verify at the official NPI Registry.