Organization Active NPI

Swingkinetics Inc

  • Chiropractor
  • Bremerton, WA
National Provider Identifier
1215225966
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034652 Issued in WA
Legal business name
SWINGKINETICS INC
Practice address
3309 Perry Ave
102
Bremerton, WA 98310-5355
Phone
(360) 478-9788
Fax
(360) 405-6255
NPI assigned
Jul 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Authorized official

Name
Dr. Kyle Thomas Bergquist, D.C.
Title
President
Phone
(206) 713-4721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00034652 WA Primary

Addresses

Primary practice location

3309 Perry Ave
102
Bremerton, WA 98310-5355

Mailing address

3309 Perry Ave
102
Bremerton, WA 98310-5355
Phone (360) 478-9788

Other names 1

  • Kitsap County Wellness Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1215225966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 PERRY AVE",
            "address_2": "102",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983105355",
            "telephone_number": "360-478-9788",
            "fax_number": "360-405-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 PERRY AVE",
            "address_2": "102",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983105355",
            "telephone_number": "360-478-9788",
            "fax_number": "360-405-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWINGKINETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "BERGQUIST",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-713-4721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kitsap County Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.