Friedman Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC11306 Issued in CA

Legal business name

FRIEDMAN CHIROPRACTIC INC

Practice address

711 D St
Suite 104
San Rafael, CA 94901-3703

Phone

(415) 459-4646

Fax

(415) 459-8003

NPI assigned

Apr 24, 2007

Last updated

May 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey I Friedman, DCNPI 1083833420

Title

Ceo

Phone

(415) 459-4646

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• FRIEDMAN CHIROPRACTIC CENTER INC Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Friedman Chiropractic Inc

  • Chiropractor
  • Petaluma, CA
  • NPI 1891961082

  O20080305000637

  Same enrollment

Tax ID family

Friedman Chiropractic Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Friedman Chiropractic Inc

  • Chiropractor
  • Petaluma, CA
  • NPI 1891961082
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey I Friedman, DC

  • Chiropractor
  • San Rafael, CA
  • NPI 1083833420
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209772800000",
    "number": "1871712240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 D ST",
            "address_2": "SUITE 104",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013703",
            "telephone_number": "415-459-4646",
            "fax_number": "415-459-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 D ST",
            "address_2": "SUITE 104",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013703",
            "telephone_number": "415-459-4646",
            "fax_number": "415-459-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIEDMAN CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-05-03",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-459-4646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "730",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR3740",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3117",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC11306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "DC0113061",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "DC0113060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRIEDMAN CHIROPRACTIC CENTER INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jonathan M Freudman, MD
• Lauren Freudman, OTR/L
• Elise Freund, DC
• Rebecca Frey
• Lauren Ione Friedeman, DPT
• Cynthia Friedman
• Jeffrey I Friedman, DC
• Marta Judy Friedman, LCSW, JD
• Samantha Friedman
• Andrew Frierson

• Chiropractor in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2008; 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.