Keith Allen Friedmann, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

06594 Issued in IA

Practice address

815 S Highway 52
Guttenberg, IA 52052-9018

Phone

(563) 252-3507

Fax

(563) 252-1254

NPI assigned

Jun 27, 2006

Last updated

Oct 31, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1932136546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 318",
            "city": "GUTTENBERG",
            "state": "IA",
            "postal_code": "520520318",
            "telephone_number": "563-252-3507",
            "fax_number": "563-252-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S HIGHWAY 52",
            "city": "GUTTENBERG",
            "state": "IA",
            "postal_code": "520529018",
            "telephone_number": "563-252-3507",
            "fax_number": "563-252-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMANN",
        "first_name": "KEITH",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IA",
            "license": "06594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0415075",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSOCIATES (HMO)",
            "identifier": "432007215",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "P00115113",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "34628",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jean Brimeyer, MSN PMHNP-BC FNP-BC
• Clayton Ridge CSD
• Michele L Dikkers, D.O.
• Family Medicine Associates PC
• Family Medicine Associates PC
• Alexia Jean Funk
• G & G Living Centers, Inc.
• G & G Living Centers, Inc.
• G & G Living Centers, Inc.
• G & G Living Centers, Inc.

• Sports Physician Chiropractor in Guttenberg, IA
• Providers in Guttenberg, IA by specialty
• Sports Physician Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.