Organization Active NPI

Redmond Chiropractic & Massage, PS

  • Chiropractor
  • Kirkland, WA
National Provider Identifier
1235590522
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00033791 Issued in WA
Legal business name
REDMOND CHIROPRACTIC & MASSAGE, PS
Practice address
6515 132ND Ave NE
Kirkland, WA 98033-8628
Phone
(425) 822-4326
Fax
(425) 827-3572
NPI assigned
Mar 14, 2016
Last updated
Mar 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Dr. Matthew Golden Larson, D.C.
Title
President/ Owner
Phone
(425) 822-4326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00033791 WA Primary

Addresses

Primary practice location

6515 132ND Ave NE
Kirkland, WA 98033-8628

Mailing address

8299 161St Ave NE Ste 100
Redmond, WA 98052-3860
Phone (425) 881-7790

National Provider Directory

National Provider Directory

Locations

7530 164th Ave NE
Ste A240
Redmond, WA 98052
Phone (425) 881-7790

8299 161st Ave NE
Ste 100
Redmond, WA 98052
Phone (425) 881-7790

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1235590522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8299 161ST AVE NE STE 100",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523860",
            "telephone_number": "425-881-7790",
            "fax_number": "425-558-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 132ND AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338628",
            "telephone_number": "425-822-4326",
            "fax_number": "425-827-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDMOND CHIROPRACTIC & MASSAGE, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "GOLDEN",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "425-822-4326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.