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DR. RICHARD GARY FRIED D.C.
NPI 1710984174
Chiropractor - Sports Physician in Moline, IL

Active since June 30, 2005Accepts Medicare Assignment
1715 5TH AVE, MOLINE, IL 61265(309) 762-1050(309) 762-1064 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard Gary Fried D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD GARY FRIED D.C. (NPI 1710984174) is an individual sports physician in Moline, Illinois and active in the NPI registry since June 2005. He is a graduate of Palmer College Chiropractic - West Sunnyvale (1985).

NPPES Registry Identity

NPI1710984174
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameDR. RICHARD GARY FRIEDCredential: D.C.
Location Address1715 5TH AVEMoline, IL 61265-7911
Mailing Address1715 5th AveMoline, IL 61265-7911 · (309) 762-1050 · Fax (309) 762-1064
Phone(309) 762-1050
Fax(309) 762-1064
Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 1985
Enumeration DateJune 30, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710984174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
1715 5TH AVE, Moline, IL 61265
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Other Identifiers 2

Medicare ID-Type Unspecified747220IL
Medicare UPINT38453IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Richard Gary Fried D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668651399
PECOS Enrollment IDI20110126000779

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
355 services32 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GERALDINE MARIE KRUCKENBERG DC
Chiropractor
1715 5TH AVE
MOLINE, IL 61265
Rock Island County (309) 764-9255
DR. TIFFANY ANN WILLARD D.C.
Chiropractor
1715 5TH AVE
MOLINE, IL 61265
Rock Island County (309) 762-1050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Fried's NPI number?

The NPI number for Richard Fried is 1710984174. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Richard Fried located?

Richard Fried practices at 1715 5th Ave, Moline, IL 61265. The listed phone number is (309) 762-1050.

What is Richard Fried's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Richard Fried enrolled in Medicare?

Yes. Richard Fried is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Richard Fried accept?

Health plans from HealthPartners and Providence Health Plan list Richard Fried as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richard Fried was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.