Active NPI
Friederichs Chiropractic LLC
- Chiropractor
- Sheboygan, WI
National Provider Identifier
1972033082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4742-12
- Legal business name
- FRIEDERICHS CHIROPRACTIC LLC
- Practice address
- 604 Michigan Ave
Sheboygan, WI 53081-3425 - Phone
- (920) 459-8475
- Fax
- (920) 694-0437
- NPI assigned
- Jun 13, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kyle J Friederichs, DC
- Title
- Owner
- Phone
- (920) 459-8475
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4742-12 | WI | Primary |
Addresses
Primary practice location
604 Michigan Ave
Sheboygan, WI 53081-3425
Mailing address
604 Michigan Ave
Sheboygan, WI 53081-3425
Phone (920) 459-8475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Sheboygan, WI
- NPI 1689963472
-
- Chiropractor
- Sheboygan, WI
- NPI 1518018548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1972033082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 MICHIGAN AVE",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530813425",
"telephone_number": "920-459-8475",
"fax_number": "920-694-0437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 MICHIGAN AVE",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530813425",
"telephone_number": "920-459-8475",
"fax_number": "920-694-0437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIEDERICHS CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-13",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "FRIEDERICHS",
"authorized_official_first_name": "KYLE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-459-8475",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "4742-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.