Individual provider Active NPI

William M Frost, DC

  • Chiropractor
  • Newport, TN
National Provider Identifier
1609984103
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC1469 Issued in TN
Practice address
309 Cosby Hwy
Newport, TN 37821-2914
Phone
(423) 623-8252
Fax
(423) 623-7411
NPI assigned
Aug 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC1469 TN Primary

Addresses

Primary practice location

309 Cosby Hwy
Newport, TN 37821-2914

Mailing address

309 Cosby Hwy
Newport, TN 37821-2914
Phone (423) 623-8252

Other identifiers 1

IdentifierTypeStateIssuer
4013327OtherBC BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071129000743 TN Practitioner - Chiropractic 7012006935 Practice locations: Newport, TN

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

309 Cosby Hwy
Newport, TN 37821

309 Cosby Hwy
Newport, TN 37821-2914
Phone (423) 623-8252

639 Cosby Hwy
Newport, TN 37821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC1469TNMDChiropractor
222TNMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Healthcare Consultants LLC Chiropractor PastSince May 17, 2007 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1609984103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 COSBY HWY",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378212914",
            "telephone_number": "423-623-8252",
            "fax_number": "423-623-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 COSBY HWY",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378212914",
            "telephone_number": "423-623-8252",
            "fax_number": "423-623-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC1469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "4013327",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.