Active NPI
Roger Wayne Freed, D.C.
- Chiropractor
- Hendersonville, NC
National Provider Identifier
1801845649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2136
- Practice address
- 212 S Grove St
Suite D
Hendersonville, NC 28792-4006 - Phone
- (828) 696-9090
- Fax
- (828) 697-0731
- NPI assigned
- May 9, 2006
- 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 | 2136 | NC | Primary |
Addresses
Primary practice location
212 S Grove St
Suite D
Hendersonville, NC 28792-4006
Mailing address
212 S Grove St
Suite D
Hendersonville, NC 28792-4006
Phone (828) 696-9090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1139C | Other | NC | BC/BS OF NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2136 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laurel Park Chiropractic Center LLC | Chiropractor | Current | Accepting new patients |
Locations
212 S Grove St
Ste D
Hendersonvlle, NC 28792
Phone (828) 381-3138
Organizations & group practices 1
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.
-
- Chiropractor
- Hendersonville, NC
- NPI 1174628416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314230400000",
"number": "1801845649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 S GROVE ST",
"address_2": "SUITE D",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287924006",
"telephone_number": "828-696-9090",
"fax_number": "828-697-0731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 S GROVE ST",
"address_2": "SUITE D",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287924006",
"telephone_number": "828-696-9090",
"fax_number": "828-697-0731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREED",
"first_name": "ROGER",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2011-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2136",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF NC",
"identifier": "1139C",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.