Individual provider Active NPI

Laura Elizabeth Frerich, DC

  • Chiropractor
  • Eagan, MN
National Provider Identifier
1497802623
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4888 Issued in MN
Practice address
4590 Scott TRL
Eagan, MN 55122-3331
Phone
(651) 454-1000
NPI assigned
Jan 3, 2007
Last updated
Dec 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4888 MN Primary

Addresses

Primary practice location

4590 Scott TRL
Eagan, MN 55122-3331

Mailing address

4590 Scott TRL 110
Eagan, MN 55122-4041
Phone (651) 454-1000

Other names 1

  • Laura Elizabeth Neal Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070201000021 MN Practitioner - Chiropractic 3072515204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acu-Chiropractic Wellness Center, PAGroup PAC ID 8820021892, 4 clinicians

Practice addresses (Care Compare)

4590 Scott TRL
Suite 110
Eagan, MN 55122-4041
Phone (651) 454-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Acu-Chiropractic Wellness Center, PA Chiropractor CurrentSince Jan 5, 2007 Accepting new patients
Williams Clinic, Inc Chiropractor PastSince Jan 3, 2002 Accepting new patients

Locations

4590 Scott Trl
Ste 110
Saint Paul, MN 55122
Phone (651) 454-1000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1497802623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4590 SCOTT TRL 110",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551224041",
            "telephone_number": "651-454-1000",
            "fax_number": "651-454-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4590 SCOTT TRL",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223331",
            "telephone_number": "651-454-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRERICH",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "NEAL",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.