Organization Active NPI

Fircrest Spine Center LLC

  • Chiropractor
  • Tacoma, WA
National Provider Identifier
1356738645
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FIRCREST SPINE CENTER LLC
Practice address
4916 Center St
Suite G
Tacoma, WA 98409
Phone
(253) 912-9653
Fax
(253) 912-9660
NPI assigned
Apr 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Authorized official

Name
Cody F Sandzimier, DC
Title
Administrator
Phone
(253) 912-9653

Specialties & licenses 1

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

Addresses

Primary practice location

4916 Center St
Suite G
Tacoma, WA 98409

Mailing address

4916 Center St
Suite G
Tacoma, WA 98409-2348
Phone (253) 912-9653

National Provider Directory

National Provider Directory

Locations

4916 Center St
Ste G
Tacoma, WA 98409
Phone (253) 912-9653

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": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573430400000",
    "number": "1356738645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4916 CENTER ST",
            "address_2": "SUITE G",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984092348",
            "telephone_number": "253-912-9653",
            "fax_number": "253-912-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4916 CENTER ST",
            "address_2": "SUITE G",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98409",
            "telephone_number": "253-912-9653",
            "fax_number": "253-912-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRCREST SPINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2019-11-11",
        "status": "A",
        "authorized_official_last_name": "SANDZIMIER",
        "authorized_official_first_name": "CODY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "253-912-9653",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.