Kathryn Rose Frega, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

083863 Issued in IA

Practice address

1850 E 53Rd St Ste 2
Davenport, IA 52807-2784

Phone

(563) 359-4106

Fax

(563) 359-4130

NPI assigned

Sep 15, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• Dr. Kathryn Rose Hemmerich Former name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Ideal Health and Wellness SCGroup PAC ID 1658597919, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ideal Health and Wellness, SC

  dba Ideal Health and Wellness, SC, Corp

  • Family Medicine Physician
  • Davenport, IA
  • NPI 1689013393
  Medicare reassignment Care Compare group Authorized official
• David C Di Iorio PC

  dba Fox Chiropractic Center

  • Sports Physician Chiropractor
  • Geneva, IL
  • NPI 1376544353
  NPD (past)

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713052800000",
    "number": "1790067783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 E 53RD ST STE 2",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072784",
            "telephone_number": "563-359-4106",
            "fax_number": "563-359-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 E 53RD ST STE 2",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072784",
            "telephone_number": "563-359-4106",
            "fax_number": "563-359-4130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 28th Avenue Dr Ste 125",
            "address_purpose": "LOCATION",
            "city": "Moline",
            "state": "IL",
            "postal_code": "612655542",
            "country_code": "US",
            "telephone_number": "309-281-6230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREGA",
        "first_name": "KATHRYN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2024-04-14",
        "certification_date": "2024-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012020",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WI",
            "license": "6028-170",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "083863",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6162-12",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS LICENSE",
            "identifier": "038012020",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA LICENSE",
            "identifier": "083863",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN CHIROPRACTIC LICENSE",
            "identifier": "6162-12",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN NATUROPATHIC LICENSE",
            "identifier": "6028-170",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "HEMMERICH",
            "middle_name": "ROSE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mica Rae Frandsen
• Jason Franklin
• Michael Ryan Franzman, D.D.S.
• Ashley Fratello, M.D.
• Camilla June Frederick, M.D.
• Fresenius Medical Care Quad Cities, LLC (Fresenius Medical Care Davenport)
• Terrie J Frieden, ARNP
• Christopher Friedl, DDS
• Susannah Parker Friemel, M.D.
• Monique Heather Frink, MS CCC-SLP

• Chiropractor in Davenport, IA
• Providers in Davenport, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2024; 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.