Thiede Chiropractic, P.S., Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

THIEDE CHIROPRACTIC, P.S., INC.

Practice address

2908 Meridian Ave E
Suite #103
Edgewood, WA 98371-2190

Phone

(253) 927-7721

Fax

(253) 841-9390

NPI assigned

Nov 27, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Conrad Thiede, D.C.

Title

President

Phone

(253) 927-7721

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1322352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322352000000",
    "number": "1174890776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 MERIDIAN AVE E",
            "address_2": "SUITE #103",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983712190",
            "telephone_number": "253-927-7721",
            "fax_number": "253-841-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 MERIDIAN AVE E",
            "address_2": "SUITE #103",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983712190",
            "telephone_number": "253-927-7721",
            "fax_number": "253-841-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIEDE CHIROPRACTIC, P.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-27",
        "last_updated": "2011-11-27",
        "status": "A",
        "authorized_official_last_name": "THIEDE",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-927-7721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Edgewood, WA
• Providers in Edgewood, WA by specialty
• Health Service Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2011; 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.