Individual provider Active NPI

Trent Frisch, D.C.

  • Chiropractor
  • Brooklyn Center, MN
National Provider Identifier
1932597580
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6015 Issued in MN
Practice address
5740 Brooklyn Blvd
Suite Number 100
Brooklyn Center, MN 55429-3062
Phone
(763) 561-4045
Fax
(763) 561-8690
NPI assigned
Jan 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6015 MN Primary

Addresses

Primary practice location

5740 Brooklyn Blvd
Suite Number 100
Brooklyn Center, MN 55429-3062

Mailing address

5740 Brooklyn Blvd
Suite Number 100
Brooklyn Center, MN 55429-3062
Phone (763) 561-4045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150309000160 MN Practitioner - Chiropractic 0749506814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kent J. Erickson, D.C., CHTDGroup PAC ID 6507839586, 4 clinicians

Practice addresses (Care Compare)

5740 Brooklyn Blvd
Brooklyn Center, MN 55429-3062

5740 Brooklyn Blvd
Suite 100
Brooklyn Center, MN 55429-3093
Phone (763) 561-4045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kent J. Erickson, D.C., CHTD Chiropractor CurrentSince Jan 1, 2015 Accepting new patients

Locations

5740 Brooklyn Blvd
Ste 100
Minneapolis, MN 55429
Phone (612) 561-4045

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": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1932597580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 BROOKLYN BLVD",
            "address_2": "SUITE NUMBER 100",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293062",
            "telephone_number": "763-561-4045",
            "fax_number": "763-561-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 BROOKLYN BLVD",
            "address_2": "SUITE NUMBER 100",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293062",
            "telephone_number": "763-561-4045",
            "fax_number": "763-561-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISCH",
        "first_name": "TRENT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.