Organization Active NPI

Friedemann Chiropractic LLC

  • Chiropractor
  • Slinger, WI
National Provider Identifier
1801211677
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3468 Issued in WI
Legal business name
FRIEDEMANN CHIROPRACTIC LLC
Practice address
403 Kettle Moraine Dr S
Slinger, WI 53086-9696
Phone
(262) 297-1551
Fax
(262) 297-1550
NPI assigned
Mar 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Authorized official

Name
Dr. Thomas James Friedemann, D.C.NPI 1407927635
Title
Owner
Phone
(262) 297-1551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3468 WI Primary

Addresses

Primary practice location

403 Kettle Moraine Dr S
Slinger, WI 53086-9696

Mailing address

403 Kettle Moraine Dr S
Slinger, WI 53086-9696
Phone (262) 297-1551

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140422000090 WI Part B Supplier - Clinic/Group Practice 7517199714 Receives reassigned benefits from 1 practitioner
Practice locations: Slinger, WI

National Provider Directory

National Provider Directory

Locations

128 Kettle Moraine Dr S
Slinger, WI 53086
Phone (262) 291-1551

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1801211677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 KETTLE MORAINE DR S",
            "city": "SLINGER",
            "state": "WI",
            "postal_code": "530869696",
            "telephone_number": "262-297-1551",
            "fax_number": "262-297-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 KETTLE MORAINE DR S",
            "city": "SLINGER",
            "state": "WI",
            "postal_code": "530869696",
            "telephone_number": "262-297-1551",
            "fax_number": "262-297-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIEDEMANN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "FRIEDEMANN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-297-1551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slinger, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.