Frederick Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002263A Issued in IN

Legal business name

FREDERICK FAMILY CHIROPRACTIC LLC

Practice address

3415 W Fox Ridge LN
Muncie, IN 47304-5204

Phone

(765) 286-9020

Fax

(765) 286-9097

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Donna S Frederick, D.C.

Title

Chiropractor, Owner

Phone

(765) 286-9020

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donna S Cray, D.C.

  • Chiropractor
  • Muncie, IN
  • NPI 1366408320
  Medicare reassignment Care Compare group
• Jeremy Paul Loney, D.C.

  • Chiropractor
  • Hartford City, IN
  • NPI 1659438687
  Medicare reassignment Care Compare group
• Alexander Brenneman, DACM, L.AC.

  • Acupuncturist
  • Muncie, IN
  • NPI 1427600600
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1497956049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 W FOX RIDGE LN",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045204",
            "telephone_number": "765-286-9020",
            "fax_number": "765-286-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 W FOX RIDGE LN",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045204",
            "telephone_number": "765-286-9020",
            "fax_number": "765-286-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIROPRACTOR, OWNER",
        "authorized_official_telephone_number": "765-286-9020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002263A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1296287",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000478644",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200816880A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derek Fox, MD
• Robin A. Fox, MD
• Alex Franklin, RBT
• Sarah Jane Franklin
• Madison Franks
• Willard J. Frederick, LCSW
• Free to Flourish Counseling and Consulting
• Free Yourself Counseling Services
• Freedom Work Counseling and Consulting LLC
• Destiny Freeman

• Chiropractor in Muncie, IN
• Providers in Muncie, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.