Mary Wlodyga Frye DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301005421 Issued in MI

Legal business name

MARY WLODYGA FRYE DC

Practice address

12445 E 12 Mile Rd
Warren, MI 48093-3572

Phone

(586) 573-6622

Fax

(586) 573-6323

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mary W. Frye, D.C.

Title

Owner

Phone

(586) 573-6622

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• First Chiropractic Life Center Doing business as

Locations

Practitioners 2

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

• Mary P Frye, DC

  • Chiropractor
  • Warren, MI
  • NPI 1376533042
  NPD (past)
• Shelbie Frye, DC

  • Chiropractor
  • Warren, MI
  • NPI 1588321731
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1750400883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12445 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933572",
            "telephone_number": "586-573-6622",
            "fax_number": "586-573-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12445 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933572",
            "telephone_number": "586-573-6622",
            "fax_number": "586-573-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY WLODYGA FRYE DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-573-6622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MICHIGAN",
            "identifier": "950E013460",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Chiropractic Life Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Martin, LCSW
• Tiffany Martin
• Elisabeth Martines
• Samuel I Martisius, D.O.
• Angelie T Martzke, LMSW
• Masar Transportation
• Brooklynn S Masco
• Bernadette Joy Mason, FNP-BC
• Tyler Masters
• Arielle Mathews

• Chiropractor in Warren, MI
• Providers in Warren, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.