Individual provider Active NPI

Roger Wayne Freed, D.C.

  • Chiropractor
  • Hendersonville, NC
National Provider Identifier
1801845649
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2136 Issued in NC
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

Updated by the provider on Aug 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1139COtherNCBC/BS OF NC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060524000182 NC Practitioner - Chiropractic 1658382064 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2136NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Laurel Park Chiropractic Center LLC Chiropractor CurrentSince Sep 1, 1997 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.

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.

Verify at the official NPI Registry.