Active NPI
Gregory Michael Freitag, DC
- Chiropractor
- Lakeville, MN
National Provider Identifier
1710509260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6741
- Practice address
- 20908 Independence Ave
Lakeville, MN 55044-5879 - Phone
- (443) 822-9597
- NPI assigned
- May 7, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6741 | MN | Primary |
Addresses
Primary practice location
20908 Independence Ave
Lakeville, MN 55044-5879
Mailing address
20908 Independence Ave
Lakeville, MN 55044-5879
Phone (443) 822-9597
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6741 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John C. Brett, P.a. | Chiropractor | 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.
-
- Chiropractor
- Bloomington, MN
- NPI 1568696672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1710509260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20908 INDEPENDENCE AVE",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550445879",
"telephone_number": "443-822-9597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20908 INDEPENDENCE AVE",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550445879",
"telephone_number": "443-822-9597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREITAG",
"first_name": "GREGORY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-07",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.