Organization Active NPI

Freidson Chiropractic & Rehabilitation, P.a.

  • Chiropractor
  • Wayzata, MN
National Provider Identifier
1548449382
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4762 Issued in MN
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

Updated by the provider on Mar 16, 2011

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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. Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.