NPIMap

Organization Active NPI

Daniel Marcus Fricke Professional Servie Corporation

  • Chiropractor
  • Mill Creek, WA
National Provider Identifier
1144669029
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 00034295 Issued in WA
Legal business name
DANIEL MARCUS FRICKE PROFESSIONAL SERVIE CORPORATION
Practice address
16708 Bothell Everett Hwy
Suite 202
Mill Creek, WA 98012-6345
Phone
(425) 286-2712
Fax
(425) 286-2713
NPI assigned
Jun 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Authorized official

Name
Dr. Daniel Marcus Fricke, D.C.NPI 1790811628
Title
Doctor
Phone
(425) 286-2712

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH 00034295 WA Primary

Addresses

Primary practice location

16708 Bothell Everett Hwy
Suite 202
Mill Creek, WA 98012-6345

Mailing address

16708 Bothell Everett Hwy
Suite 202
Mill Creek, WA 98012-6345
Phone (425) 286-2712

Other identifiers 1

IdentifierTypeStateIssuer
1790811628OtherWAINDIVIDUAL NPI

Other names 1

  • Dr. Dan Chiropractic and Massage Doing business as

National Provider Directory

National Provider Directory

Locations

16708 Bothell Everett Hwy
Ste 202
Mill Creek, WA 98012
Phone (425) 286-2712

Practitioners & affiliated clinicians

Practitioners 5

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": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1144669029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16708 BOTHELL EVERETT HWY",
            "address_2": "SUITE 202",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980126345",
            "telephone_number": "425-286-2712",
            "fax_number": "425-286-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16708 BOTHELL EVERETT HWY",
            "address_2": "SUITE 202",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980126345",
            "telephone_number": "425-286-2712",
            "fax_number": "425-286-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL MARCUS FRICKE PROFESSIONAL SERVIE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "FRICKE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MARCUS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "425-286-2712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 00034295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1790811628",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Dan Chiropractic and Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mill Creek, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.