Individual provider Active NPI

Chad Donald Frisch, D.C.

  • Chiropractor
  • Fort Mill, SC
National Provider Identifier
1629200555
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3492 Issued in SC
Practice address
111 Clebourne St
Suite 120
Fort Mill, SC 29715-1758
Phone
(386) 871-4451
NPI assigned
Aug 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3492 SC Primary

Addresses

Primary practice location

111 Clebourne St
Suite 120
Fort Mill, SC 29715-1758

Mailing address

111 Clebourne St
Suite 120
Fort Mill, SC 29715-1758
Phone (386) 871-4451

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091104000251 SC Practitioner - Chiropractic 2365580834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

111 Clebourne St
Suite 120
Fort Mill, SC 29715-1759
Phone (803) 547-1245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3492SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Frisch Family Chiropractic LLC Chiropractor CurrentSince Sep 21, 2009 Accepting new patients

Locations

111 Clebourne St
Ste 120
Fort Mill, SC 29715
Phone (803) 547-1245

1698 Highway 160 W
Ste 140
Fort Mill, SC 29708
Phone (803) 547-1245

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": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1629200555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLEBOURNE ST",
            "address_2": "SUITE 120",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297151758",
            "telephone_number": "386-871-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CLEBOURNE ST",
            "address_2": "SUITE 120",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297151758",
            "telephone_number": "386-871-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISCH",
        "first_name": "CHAD",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.