Individual provider Active NPI

Frank W Frydrych Jr., DC

  • Chiropractor
  • Lombard, IL
National Provider Identifier
1780869339
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011082 Issued in IL
Practice address
929 S Main St
Unit 107a
Lombard, IL 60148-3364
Phone
(630) 519-6284
Fax
(866) 443-0749
NPI assigned
Jan 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011082 IL Primary

Addresses

Primary practice location

929 S Main St
Unit 107a
Lombard, IL 60148-3364

Mailing address

929 S Main St
Unit 107a
Lombard, IL 60148-3364
Phone (630) 519-6284

Other identifiers 1

IdentifierTypeStateIssuer
R00055OtherMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080226000710 IL Practitioner - Chiropractic 1658455803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National University of Health SciencesGroup PAC ID 2567351521, 4 clinicians

Practice addresses (Care Compare)

200 E Roosevelt Rd
Lombard, IL 60148-4539
Phone (630) 629-9664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038011082ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
National University of Health Sciences Chiropractor CurrentSince Mar 22, 2018 Accepting new patients
Physical Medicine Associates SC Chiropractor PastSince May 22, 2022 Accepting new patients

Locations

200 E Roosevelt Rd
Lombard, IL 60148
Phone (630) 629-9664

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11209/brand/1/csg/1/fhir/r4
  • Direct secure messaging: frank.frydrych.1@11209.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1780869339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 S MAIN ST",
            "address_2": "UNIT 107A",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601483364",
            "telephone_number": "630-519-6284",
            "fax_number": "866-443-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 S MAIN ST",
            "address_2": "UNIT 107A",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601483364",
            "telephone_number": "630-519-6284",
            "fax_number": "866-443-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYDRYCH",
        "first_name": "FRANK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-02",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R00055",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.

Verify at the official NPI Registry.