Derek Dustin Frye, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11502 Issued in TX

Practice address

670 N Macarthur Blvd # 100
Coppell, TX 75019

Phone

(972) 745-4446

Fax

(972) 745-2597

NPI assigned

Aug 9, 2010

Sex

Male

Sole proprietor

Yes

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 TX

Enrollment records 1

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.

• Integrative Medical of DFW LLC

  • Family Medicine Physician
  • Coppell, TX
  • NPI 1760010201
  Medicare reassignment NPD Authorized official
• Healthcare Associates of Irving PLLC

  • Family Medicine Physician
  • Irving, TX
  • NPI 1467413625
  NPD (past)

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1497060081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N MACARTHUR BLVD # 100",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192733",
            "telephone_number": "972-745-4446",
            "fax_number": "972-745-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N MACARTHUR BLVD # 100",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "75019",
            "telephone_number": "972-745-4446",
            "fax_number": "972-745-2597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "546 E Sandy Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750195786",
            "country_code": "US",
            "telephone_number": "972-393-8067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRYE",
        "first_name": "DEREK",
        "middle_name": "DUSTIN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-09",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Renee Foster, M.D.
• Peter Gabriel Arindaeng Francisco
• Guichard N Francois, DPT
• Sarah Freeman, R.D.H.
• Mary Kathryn Frith, N.P.
• Travis Andrew Fuentes, FNP-BC
• Barbara Ann Gabut, PTA
• Ronald Alan Garber, PH.D.
• Melissa Vecentia Garcia-Rozas, DDS
• Janie Otto Garrett, LCSW

• Chiropractor in Coppell, TX
• Providers in Coppell, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.