Redmond Ridge Chiropractic, P.S.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2601 Issued in WA

Legal business name

REDMOND RIDGE CHIROPRACTIC, P.S.

Doing business as

Redmond ridge Chiropractic

Practice address

23525 NE Novelty Hill Rd # a-109
Redmond, WA 98053-1995

Phone

(425) 868-0120

Fax

(425) 868-3920

NPI assigned

Sep 25, 2007

Last updated

Sep 25, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kais Adnan Faddah, D.C.

Title

Owner

Phone

(425) 868-0120

Specialties & licenses 1

Addresses

Other names 1

• Redmond ridge Chiropractic Doing business as

Locations

Practitioners 6

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.

• Desmond K Loo, LMP

  • Massage Therapist
  • Redmond, WA
  • NPI 1396145389
  NPD (past)
• Andrew Howard Marrone, D.C.

  • Chiropractor
  • Snohomish, WA
  • NPI 1992951792
  NPD (past)
• Jessica Lee Morrow, L.M.P

  • Massage Therapist
  • Redmond, WA
  • NPI 1245495084
  NPD (past)
• Mitresh A. Parmar, D.C.

  • Chiropractor
  • Redmond, WA
  • NPI 1558400317
  NPD (past)
• Kathy Strande Pouncy, LMP

  • Massage Therapist
  • Redmond, WA
  • NPI 1821389602
  NPD (past)
• Andrea Swanson, MA

  • Massage Therapist
  • Redmond, WA
  • NPI 1295263291
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1316134299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23525 NE NOVELTY HILL RD # A-109",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980531995",
            "telephone_number": "425-868-0120",
            "fax_number": "425-868-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23525 NE NOVELTY HILL RD # A-109",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980531995",
            "telephone_number": "425-868-0120",
            "fax_number": "425-868-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDMOND RIDGE CHIROPRACTIC, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "FADDAH",
        "authorized_official_first_name": "KAIS",
        "authorized_official_middle_name": "ADNAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-868-0120",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redmond ridge Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Redmond Family Dentistry
• Redmond Herbal Spa LLC
• Redmond Internal Medicine Associates PLLC (Rima)
• Redmond Market Place Chiropractic (Towers Family Chiropractic)
• Redmond Pediatrics
• Redmond Ridge Physical Therapy PLLC
• Redmond Spinal Care, P.C.
• Redmond Spine Center, PLLC (Integrated Health Center of Washington)
• Redmond Therapist
• Redmond Therapy Group PLLC (Redmond Therapy Group)

• Chiropractor in Redmond, WA
• Providers in Redmond, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.