Keith A Frederick, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-04513 Issued in KS

Practice address

1305 Wheatland Dr
Hutchinson, KS 67502-5667

Phone

(620) 662-8300

Fax

(620) 662-8304

NPI assigned

Jun 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Frederick Chiropractic Center P.a.

  • Chiropractor
  • Hutchinson, KS
  • NPI 1366498495
  Medicare reassignment NPD Authorized official
• Higgins Chiropractic P.a.

  • Chiropractor
  • Hutchinson, KS
  • NPI 1952432163
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1831136415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WHEATLAND DR",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675025667",
            "telephone_number": "620-663-8300",
            "fax_number": "620-662-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WHEATLAND DR",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675025667",
            "telephone_number": "620-662-8300",
            "fax_number": "620-662-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "KEITH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dolores D Francis, RN
• Ann Franco, APRN
• Fred Meyer Stores Inc
• Frederick Chiropractic Center P.a.
• Amy Dian Frederick, RN
• Dawn Marie Gadberry, LSCSW
• Eva M Gadberry, LSCSW
• Leslie Ann Galbraith
• Florence M Galloway
• Carlos Garcia, MD

• Chiropractor in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.