Organization Active NPI

Frey Clinic of Chiropractic Inc

  • Chiropractor
  • Napoleon, OH
National Provider Identifier
1689740409
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FREY CLINIC OF CHIROPRACTIC INC
Practice address
390 Independence Drive
Napoleon, OH 43545
Phone
(419) 592-7966
Fax
(419) 599-0635
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Timothy M Frey, DCNPI 1770500225
Title
Doctor of Chiropractic President
Phone
(419) 592-7966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

390 Independence Drive
Napoleon, OH 43545

Mailing address

390 Independence Drive
Napoleon, OH 43545
Phone (419) 592-7966

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041202000160 OH Part B Supplier - Clinic/Group Practice 2567428527 Receives reassigned benefits from 3 practitioners
Practice locations: Napoleon, OH

National Provider Directory

National Provider Directory

Locations

390 Independence Dr
Napoleon, OH 43545
Phone (419) 591-6292

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689740409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 INDEPENDENCE DRIVE",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "43545",
            "telephone_number": "419-592-7966",
            "fax_number": "419-599-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 INDEPENDENCE DRIVE",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "43545",
            "telephone_number": "419-592-7966",
            "fax_number": "419-599-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREY CLINIC OF CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC PRESIDENT",
        "authorized_official_telephone_number": "419-592-7966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napoleon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.