Organization Active NPI

Red-Rose Chiropractic Clinic P.S.

  • Chiropractor
  • Kirkland, WA
National Provider Identifier
1013188606
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003366 Issued in WA
Legal business name
RED-ROSE CHIROPRACTIC CLINIC P.S.
Practice address
12841 NE 85TH St
Kirkland, WA 98033-8009
Phone
(425) 893-9200
NPI assigned
Mar 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Scott HarderNPI 1659572139
Title
Owner/Chiropractor
Phone
(425) 893-9200

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH00003366 WA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH00033882 WA

Addresses

Primary practice location

12841 NE 85TH St
Kirkland, WA 98033-8009

Mailing address

12841 NE 85TH St
Kirkland, WA 98033-8009
Phone (425) 893-9200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040304000699 WA Part B Supplier - Clinic/Group Practice 9234026022 Receives reassigned benefits from 1 practitioner
Practice locations: Kirkland, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1013188606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12841 NE 85TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338009",
            "telephone_number": "425-893-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12841 NE 85TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338009",
            "telephone_number": "425-893-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED-ROSE CHIROPRACTIC CLINIC P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "425-893-9200"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003366",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033882",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.

Verify at the official NPI Registry.