Active NPI
Douglas George Frey, D.C.
- Chiropractor
- Cascade, IA
National Provider Identifier
1841314929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06468
- Practice address
- 206 Grant St. SW
Cascade, IA 52033-0456 - Phone
- (563) 852-3396
- Fax
- (563) 852-3565
- NPI assigned
- Mar 16, 2007
- Last updated
- Jan 7, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 06468 | IA | Primary |
Addresses
Primary practice location
206 Grant St. SW
Cascade, IA 52033-0456
Mailing address
206 Grant St. SW
Cascade, IA 52033-0456
Phone (563) 852-3396
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0256768 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
206 Grant St SW
Cascade, IA 52033-9472
Phone (563) 852-3396
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06468 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grant Street Chiropractic PC | Chiropractor | Current | Accepting new patients |
Locations
206 Grant St SW
Cascade, IA 52033
Phone (563) 852-3396
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.
-
- Chiropractor
- Cascade, IA
- NPI 1770649311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199664000000",
"number": "1841314929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 GRANT ST. SW",
"city": "CASCADE",
"state": "IA",
"postal_code": "520330456",
"telephone_number": "563-852-3396",
"fax_number": "563-852-3565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 GRANT ST. SW",
"city": "CASCADE",
"state": "IA",
"postal_code": "520330456",
"telephone_number": "563-852-3396",
"fax_number": "563-852-3565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREY",
"first_name": "DOUGLAS",
"middle_name": "GEORGE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2008-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06468",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0256768",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cascade, IA
- Steven P Bradley, DDS
- Cascade City (Cascade Emergency Medical Services)
- Cascade Lumber Company
- Cascade Medical Center
- Jenifer Ruth Deutmeyer McGovern, PHARMD
- Kristy Gibbs, OTR/L, CDP, CLWT
- Grant Street Chiropractic PC
- Health Care Associates LLC
- Madison Holerud, TLMHC
- Claire Frances Horsfield, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.