Individual provider Active NPI

Dewane D. Frase, D.C.

  • Chiropractor
  • Phillips, WI
National Provider Identifier
1720169683
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3088-012 Issued in WI
Practice address
N9691 State Highway 13
Phillips, WI 54555-7771
Phone
(715) 339-2052
Fax
(715) 339-2014
NPI assigned
Oct 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3088-012 WI Primary

Addresses

Primary practice location

N9691 State Highway 13
Phillips, WI 54555-7771

Mailing address

N9691 State Highway 13
Phillips, WI 54555-7771
Phone (715) 339-2052

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

LicenseStateTypeSpecialty
3088-012WIMDChiropractor
1967GAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Spine Solutions, PC Chiropractor PastSince Jun 6, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720169683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N9691 STATE HIGHWAY 13",
            "city": "PHILLIPS",
            "state": "WI",
            "postal_code": "545557771",
            "telephone_number": "715-339-2052",
            "fax_number": "715-339-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N9691 STATE HIGHWAY 13",
            "city": "PHILLIPS",
            "state": "WI",
            "postal_code": "545557771",
            "telephone_number": "715-339-2052",
            "fax_number": "715-339-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASE",
        "first_name": "DEWANE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3088-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillips, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.