Kudick Chiropractic P.S.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

00002433 Issued in WA

Legal business name

KUDICK CHIROPRACTIC P.S.

Practice address

1800 Cooper Point Rd SW
Building 24a
Olympia, WA 98502

Phone

(360) 943-7360

Fax

(360) 754-7022

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Suzan Irene Kudick, DC

Title

President

Phone

(360) 943-7360

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 8

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

• Nicholaus Allen Martin, DC

  • Chiropractor
  • Olympia, WA
  • NPI 1194497685
  Medicare reassignment NPD
• Sahibjit S Gill, D.C

  • Chiropractor
  • Kingston, WA
  • NPI 1124105598
  Medicare reassignment
• Audra Rose Kuoppala, DC

  • Chiropractor
  • Bremerton, WA
  • NPI 1306495775
  Medicare reassignment
• Collin Kuoppala, DC

  • Chiropractor
  • Juneau, AK
  • NPI 1073029377
  NPD
• Felisity E Brush, LMP

  • Massage Therapist
  • Lacey, WA
  • NPI 1447929815
  NPD (past)
• Rebecca Parsons, MS, RD, CD, CES

  • Registered Dietitian
  • Olympia, WA
  • NPI 1386060754
  NPD (past)
• Bree Ann Stacy-Rodriguez

  • Massage Therapist
  • Tacoma, WA
  • NPI 1871166504
  NPD (past)
• Danika Ireland Werner

  • Massage Therapist
  • Olympia, WA
  • NPI 1205754801
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1124114582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2252",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98507",
            "telephone_number": "360-943-7360",
            "fax_number": "360-754-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COOPER POINT RD SW",
            "address_2": "BUILDING 24A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98502",
            "telephone_number": "360-943-7360",
            "fax_number": "360-754-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUDICK CHIROPRACTIC P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "KUDICK",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-943-7360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "00002433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Krupp
• Wendy Ann Kruse, ARNP
• Jennifer Ku, PHARMD
• John R Kuczynski, M.D.
• Nicole Kudelka
• Suzan I Kudick, D.C.
• Robert D. Kugel, M.D.
• Preeta Kuhlman, ND
• Tim Kuhlman, ND
• Cameron Kunkel

• Chiropractor in Olympia, WA
• Providers in Olympia, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.