Active NPI
Derek Thomas Fritz, DC
- Chiropractor
- Longmont, CO
National Provider Identifier
1720390230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6532
- Practice address
- 1749 Terry St
Longmont, CO 80501-2047 - Phone
- (303) 772-3982
- Fax
- (303) 772-0990
- NPI assigned
- Jul 13, 2010
- Last updated
- Jul 13, 2010
- 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 | 6532 | CO | Primary |
Addresses
Primary practice location
1749 Terry St
Longmont, CO 80501-2047
Mailing address
1749 Terry St
Longmont, CO 80501-2047
Phone (303) 772-3982
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1749 Terry St
Longmont, CO 80501-2047
Phone (303) 772-3982
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6532 | CO | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fritz Wellness, Professional Company | Chiropractor | Current | Accepting new patients |
| Thomas R Fritz D C LTD | Chiropractor | Past | Accepting new patients |
Locations
1749 Terry St
Longmont, CO 80501
Phone (303) 772-3982
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.
-
dba Fritz Wellness Center
- Chiropractor
- Longmont, CO
- NPI 1487193231
-
- Chiropractor
- Longmont, CO
- NPI 1770873754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278979200000",
"number": "1720390230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1749 TERRY ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805012047",
"telephone_number": "303-772-3982",
"fax_number": "303-772-0990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1749 TERRY ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805012047",
"telephone_number": "303-772-3982",
"fax_number": "303-772-0990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRITZ",
"first_name": "DEREK",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-13",
"last_updated": "2010-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "6532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
- James M. Fretwell, M.D.
- James C Freudenburg, MD
- Melissa Frick
- Carla Friedli, PH.D. PSYCHOLOGY
- Fritz Wellness, Professional Company (Fritz Wellness Center)
- John Allan Fritz, D.O.
- Froc, PC (Front Range Orthopedic Center)
- Front Range Clinic Inc.
- Front Range Eye Physicians PC
- Front Range Gastroenterology Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.