Active NPI
Leon Boris Frid, D.C.
- Occupational Health Chiropractor
- St Louis Park, MN
National Provider Identifier
1639117559
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Apr 18, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Chiropractor
- License
- 2008
- Practice address
- 3015 Utah Ave S
Suite 200
Saint Louis Park, MN 55426-3671 - Phone
- (952) 933-1121
- Fax
- (952) 945-9536
- NPI assigned
- Jun 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Health Chiropractor | 111NX0100X | 2008 | MN | Primary |
Addresses
Primary practice location
3015 Utah Ave S
Suite 200
Saint Louis Park, MN 55426-3671
Mailing address
4201 Excelsior Blvd
St Louis Park, MN 55416-4728
Phone (952) 933-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 506527500 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care & Rehabilitation Clinics, Inc. | Past | 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.
-
- Multi-Specialty Clinic/Center
- St Louis Park, MN
- NPI 1306842547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1639117559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 EXCELSIOR BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554164728",
"telephone_number": "952-933-8900",
"fax_number": "952-945-9536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 UTAH AVE S",
"address_2": "SUITE 200",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554263671",
"telephone_number": "952-933-1121",
"fax_number": "952-945-9536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRID",
"first_name": "LEON",
"middle_name": "BORIS",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Occupational Health",
"state": "MN",
"license": "2008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "506527500",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.