Individual provider Active NPI

James Lee Friess, DC

  • Chiropractor
  • Holland, MI
National Provider Identifier
1831185180
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
JF008616 Issued in MI
Practice address
364 Garden Ave
Holland, MI 49424-8656
Phone
(616) 392-9500
Fax
(616) 392-9662
NPI assigned
Sep 22, 2005
Last updated
Mar 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X JF008616 MI Primary

Addresses

Primary practice location

364 Garden Ave
Holland, MI 49424-8656

Mailing address

364 Garden Ave
Holland, MI 49424-8656
Phone (616) 392-9500

Other identifiers 2

IdentifierTypeStateIssuer
JF008616OtherBCN
P00143365OtherMIRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040722001203 MI Practitioner - Chiropractic 6901886696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkhurst Chiropractic Life Center PLCGroup PAC ID 7416858337, 5 clinicians

Practice addresses (Care Compare)

364 Garden Ave
Holland, MI 49424-8656
Phone (616) 392-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
JF008616MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Parkhurst Chiropractic Life Center PLC Chiropractor CurrentSince Nov 1, 2003 Accepting new patients

Locations

364 Garden Ave
Holland, MI 49424
Phone (616) 392-9500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1831185180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 GARDEN AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248656",
            "telephone_number": "616-392-9500",
            "fax_number": "616-392-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 GARDEN AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248656",
            "telephone_number": "616-392-9500",
            "fax_number": "616-392-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIESS",
        "first_name": "JAMES",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "JF008616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "JF008616",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00143365",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.