Preston Frederick, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7091 Issued in MN

Practice address

8147 Globe Dr Ste 103
Woodbury, MN 55125-3741

Phone

(651) 731-0505

NPI assigned

Mar 16, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Woodbury Spine and Injury Center

  • Chiropractor
  • Woodbury, MN
  • NPI 1477868891
  NPD (past)

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1639870512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8147 GLOBE DR STE 103",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253741",
            "telephone_number": "651-731-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8147 GLOBE DR STE 103",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253741",
            "telephone_number": "651-731-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "PRESTON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Jayne Roth Frantzich, CNM
• Faith Rose Franzoi
• Richard Mark Fraser, MD
• Sharon Lynn Frattalone, D.O.
• Denise Lynn Frederick, M.S.
• Jill Leanne Freeman, APRN, CNP
• Holly Freemark, PA-C
• Brittany Freese, DC
• Paige Marie Freese
• Wyatt Freie

• Chiropractor in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.