Organization Active NPI

Gangadhar Inc.

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1154581015
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00033615 Issued in WA
Legal business name
GANGADHAR INC.
Doing business as
The Vital Energy Center
Practice address
2033 10TH Ave E
Seattle, WA 98102-4105
Phone
(206) 860-9090
Fax
(206) 860-3699
NPI assigned
Jun 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Dr. Jared Marc Kohler, D.C.
Title
Principal
Phone
(206) 860-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00033615 WA Primary

Addresses

Primary practice location

2033 10TH Ave E
Seattle, WA 98102-4105

Mailing address

2033 10TH Ave E
Seattle, WA 98102-4105
Phone (206) 860-9090

Other names 1

  • The Vital Energy Center 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": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1154581015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 10TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981024105",
            "telephone_number": "206-860-9090",
            "fax_number": "206-860-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 10TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981024105",
            "telephone_number": "206-860-9090",
            "fax_number": "206-860-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANGADHAR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "KOHLER",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "206-860-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vital Energy Center",
            "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 Jun 13, 2008; 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.