Friedman Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC11306 Issued in CA

Legal business name

FRIEDMAN CHIROPRACTIC INC

Practice address

405 D St
Suite 2
Petaluma, CA 94952-3006

Phone

(707) 773-0288

Fax

(707) 773-0288

NPI assigned

May 7, 2008

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

(707) 773-0288

Specialties & licenses 4

Addresses

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
  • San Rafael, CA
  • NPI 1871712240

  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
  • San Rafael, CA
  • NPI 1871712240
  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.

• Jeffrey I Friedman, DC

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

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1891961082",
    "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": "949013707",
            "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": "405 D ST",
            "address_2": "SUITE 2",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523006",
            "telephone_number": "707-773-0288",
            "fax_number": "707-773-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIEDMAN CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "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": "707-773-0288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC11306",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "730",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR3740",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRIEDMAN CHIROPRACTIC CENTER INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sophia Frederick
• Sheridan Freedman, DNP, FNP-BC
• Barbara K. Frei
• Robert A. Fried, MD
• Clare Friedlander, LCSW
• Susanna Lynn Frohman
• Nicole Fugo Zibelman, LAC
• Shalonda Nichole Fuller
• Skylynn Lee Funderburk
• Shaina K Gadow

• Chiropractor in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.