Active NPI
Freidson Chiropractic & Rehabilitation, P.a.
- Chiropractor
- Wayzata, MN
National Provider Identifier
1548449382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4762
- Legal business name
- FREIDSON CHIROPRACTIC & REHABILITATION, P.A.
- Practice address
- 801 Twelve Oaks Center Dr
Suite 810
Wayzata, MN 55391-4601 - Phone
- (952) 475-4080
- NPI assigned
- Oct 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David J Freidson, DC
- Title
- Ceo
- Phone
- (952) 475-4080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4762 | MN | Primary |
Addresses
Primary practice location
801 Twelve Oaks Center Dr
Suite 810
Wayzata, MN 55391-4601
Mailing address
801 Twelve Oaks Center Dr
Suite 810
Wayzata, MN 55391-4601
Phone (952) 475-4080
Other names 1
- Synergy Health & Rehabilitation, P.A.
National Provider Directory
National Provider DirectoryLocations
801 Twelve Oaks Center Dr
Ste 810
Wayzata, MN 55391
Phone (952) 475-4080
801 Twelve Oaks Center Dr
Wayzata, MN 55391
Phone (763) 476-8244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300233600000",
"number": "1548449382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 TWELVE OAKS CENTER DR",
"address_2": "SUITE 810",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553914601",
"telephone_number": "952-475-4080",
"fax_number": "952-475-4082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 TWELVE OAKS CENTER DR",
"address_2": "SUITE 810",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553914601",
"telephone_number": "952-475-4080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREIDSON CHIROPRACTIC & REHABILITATION, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-29",
"last_updated": "2011-03-16",
"status": "A",
"authorized_official_last_name": "FREIDSON",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "952-475-4080",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "4762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Synergy Health & Rehabilitation, P.A.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Wayzata, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.