Individual provider Active NPI

John Louis Frink, D.C.

  • Chiropractor
  • Englewood, FL
National Provider Identifier
1902161318
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10611 Issued in FL
Practice address
579 S Indiana Ave
Suite C
Englewood, FL 34223-3751
Phone
(941) 474-4944
Fax
(941) 475-8494
NPI assigned
Jul 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10611 FL Primary

Addresses

Primary practice location

579 S Indiana Ave
Suite C
Englewood, FL 34223-3751

Mailing address

579 S Indiana Ave
Suite C
Englewood, FL 34223-3751
Phone (941) 474-4944

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130403000392 FL Practitioner - Chiropractic 4688819105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 Pine St
Suite 216 217
Englewood, FL 34223-4418
Phone (941) 474-4944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH10611FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Palms Health Centers Chiropractor CurrentSince Jan 26, 2013 Accepting new patients

Locations

579 S Indiana Ave
Ste C
Englewood, FL 34223
Phone (941) 474-4944

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1902161318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 S INDIANA AVE",
            "address_2": "SUITE C",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342233751",
            "telephone_number": "941-474-4944",
            "fax_number": "941-475-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 S INDIANA AVE",
            "address_2": "SUITE C",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342233751",
            "telephone_number": "941-474-4944",
            "fax_number": "941-475-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRINK",
        "first_name": "JOHN",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.