Individual provider Active NPI

Richard C Froehle, D.C.

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1528015997
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1950 Issued in MN
Practice address
550 Snelling Ave S
Suite 203
Saint Paul, MN 55116-1564
Phone
(651) 698-6803
Fax
(651) 698-0445
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1950 MN Primary

Addresses

Primary practice location

550 Snelling Ave S
Suite 203
Saint Paul, MN 55116-1564

Mailing address

550 Snelling Ave S
Suite 203
Saint Paul, MN 55116-1564
Phone (651) 698-6803

Other identifiers 1

IdentifierTypeStateIssuer
016327900MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060727000058 MN Practitioner - Chiropractic 0547273120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1950MNMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1528015997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 SNELLING AVE S",
            "address_2": "SUITE 203",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161564",
            "telephone_number": "651-698-6803",
            "fax_number": "651-698-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SNELLING AVE S",
            "address_2": "SUITE 203",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161564",
            "telephone_number": "651-698-6803",
            "fax_number": "651-698-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROEHLE",
        "first_name": "RICHARD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016327900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.