NPIMap

Organization Active NPI

Dr Barry Gjerdrum PS

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1073715306
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003329 Issued in WA
Legal business name
DR BARRY GJERDRUM PS
Practice address
7010 Woodlawn Ave NE
Seattle, WA 98115-5433
Phone
(206) 517-5433
Fax
(206) 517-5533
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Barry Gjerdrum, DCNPI 1982758181
Title
Owner
Phone
(206) 517-5433

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00003329 WA Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA00022012 WA

Addresses

Primary practice location

7010 Woodlawn Ave NE
Seattle, WA 98115-5433

Mailing address

7010 Woodlawn Ave NE
Seattle, WA 98115-5433
Phone (206) 517-5433

Other names 1

  • Lifestyle Chiropractic Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1073715306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 WOODLAWN AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155433",
            "telephone_number": "206-517-5433",
            "fax_number": "206-517-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 WOODLAWN AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155433",
            "telephone_number": "206-517-5433",
            "fax_number": "206-517-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BARRY GJERDRUM PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "GJERDRUM",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-517-5433",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003329",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00022012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifestyle Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.