Kenneth B. Frederick, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33949 Issued in WA

Practice address

7342 E Raintree LN
Port Orchard, WA 98366-8453

Phone

(360) 871-1169

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Delanie Calleen Jones, DC

  • Chiropractor
  • Port Orchard, WA
  • NPI 1770364846
  Medicare reassignment

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.

• Frederick Chiropractic

  • Chiropractor
  • Port Orchard, WA
  • NPI 1427487248
  NPD (past) Authorized official
• Dr. Jennifer Sansen, P.S.

  dba Kitsap Chiropractic Clinic

  • Chiropractor
  • Port Orchard, WA
  • NPI 1629247846
  NPD (past)
• Kitsap Chiropractic

  • Chiropractor
  • Port Orchard, WA
  • NPI 1417897513
  NPD (past)
• West Sound Chiropractic Clinic PLLC

  • Chiropractor
  • Port Orchard, WA
  • NPI 1396886495
  NPD (past)
• West Sound Chiropractic, P.S.

  • Chiropractor
  • Port Orchard, WA
  • NPI 1790077147
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073628061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 SE MILE HILL DR",
            "address_2": "STE A-101",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663500",
            "telephone_number": "360-895-4843",
            "fax_number": "360-895-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7342 E RAINTREE LN",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983668453",
            "telephone_number": "360-871-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "KENNETH",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "33949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad R Frandsen, MD
• Karleen Rae Franklin
• Emily Frazier
• Fred Meyer Stores Inc (Fred Meyer Pharmacy)
• Frederick Chiropractic
• Steven E Fredrikson, MD
• Richard D Freiboth, DDS
• Kirsten Tinglum Friedman
• Frontier Therapy LLC (Kitsap Physical Therapy and Sports Clinics)
• Fry Chiropractic

• Chiropractor in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.