DR. ROBERT FREDRICKSON (NPI# 1164847661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164847661 |
| Entity Type | Individual |
| Full Name | DR. ROBERT FREDRICKSON |
| Credential | D.C. |
| Practice Address |
4015 Main Street Suite 100 Dallas TX 75226 |
| Mailing Address |
Po Box 1773 Georgetown TX 78627-1773 |
| Practice Telephone | 5128184025 |
| Mailing Telephone | 5128184025 |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 12519 | TX | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508907809 | Robert Herbert Fredrickson | Dentist | 1124 Market St, Williamsport, PA 17701 | 2007-02-09 |
| Street Address |
4015 MAIN STREET SUITE 100 |
| City | DALLAS |
| State | TX |
| Zip Code | 75226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942827894 | Kendra Jenay Dawson | Physical Therapist | Genesis Pt and Wellness, Pllc, 4428 Main Street Suite 100, Dallas, TX 75226 | 2020-06-26 |
| 1881180867 | Sara Bahmanyar | Dentist | 3000 Gaston Ave, 6th Floor, Attn: Oral & Maxillofacial Surgery, Dallas, TX 75226 | 2018-07-02 |
| 1437679669 | An Hai Van Dang | Dentist | 2732 Gaston Ave., 3210, Dallas, TN 75226 | 2017-06-20 |
| 1285826495 | Maninder Jeet Kaur | General Acute Care Hospital | Baylor Heart and Vascular Hospital, Dallas, TX 75226 | 2007-08-11 |
| 1124178827 | Westmoreland Dental & Orthodontics, Pa | Dentist | 4809 Columbia Avenue, Suite B, Dallas, TX 75226 | 2007-01-12 |
| 1912918798 | Texas A&m University System Health Science Center | Dentist | 3000 Gaston Ave, Dallas, TX 75226 | 2006-08-10 |
| 1750302725 | Dallas Compounding Phcy | Pharmacy | 3001 A Gaston Ave, Dallas, TX 75226 | 2006-07-22 |
| 1124645452 | Samir Gwalani | Student in an Organized Health Care Education/Training Program | 3000 Gaston Ave, 6th Floor, Dallas, TX 75226 | 2020-07-02 |
| 1689059966 | Bailey Marie Isenberg | Nurse Practitioner | 621 N Hall St, Suite 400, Dallas, TX 75226 | 2015-07-28 |
| 1831383116 | Texas A&m University System Health Science Center | Dentist | 3000 Gaston Ave, Dallas, TX 75226 | 2007-08-30 |
| Find all providers in zip 75226 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442480 | Sydni Leigh Mcdonald-hughes | Chiropractor | 1152 N Buckner Blvd Ste 100b, Dallas, TX 75218-3435 | 2020-09-22 |
| 1093332157 | Musa S Hasan | Chiropractor | 9669 N Central Expy Ste 200, Dallas, TX 75231-5054 | 2020-07-06 |
| 1750905683 | James Jakes II | Chiropractor | 155 Parkhouse St # 103, Dallas, TX 75207-7211 | 2020-06-06 |
| 1386267052 | Demetris William Elia | Chiropractor | 7712 Royal Ln Apt C, Dallas, TX 75230-3704 | 2020-05-28 |
| 1093336547 | Michael Martinez | Chiropractor | 3619 Throckmorton St, Dallas, TX 75219-3743 | 2020-05-06 |
| 1588285746 | Sunghyun Kim | Chiropractor | 2000 Royal Ln Ste 105, Dallas, TX 75229-3881 | 2020-04-29 |
| 1164043451 | Tiffany Hall | Chiropractor | 4217 Swiss Ave Apt 326, Dallas, TX 75204-6683 | 2020-04-28 |
| 1689205635 | Dallas Federal Physical Therapy and Rehabilitation LLC | Chiropractor | 8204 Elmbrook Dr Ste 175, Dallas, TX 75247-7212 | 2020-01-29 |
| 1669018560 | Light Matters, LLC | Chiropractor | 4400 W University Blvd Apt 17206, Dallas, TX 75209-3702 | 2019-11-26 |
| 1063055721 | Dallas Chiropractic & Injury Center Inc | Chiropractor | 2351 W Northwest Hwy Ste 3105, Dallas, TX 75220-4453 | 2019-10-24 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.