Active NPI
Pinehurst Chiropractic
- Chiropractor
- Seattle, WA
National Provider Identifier
1376083105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00001825
- Legal business name
- PINEHURST CHIROPRACTIC
- Practice address
- 2611 NE 125TH St Ste 115
Seattle, WA 98125-4376 - Phone
- (206) 365-2233
- Fax
- (206) 361-7082
- NPI assigned
- Feb 27, 2017
- Last updated
- Feb 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David P Kirdahy
- Title
- D.C, Owner, Practitioner
- Phone
- (206) 365-2233
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00001825 | WA | Primary |
Addresses
Primary practice location
2611 NE 125TH St Ste 115
Seattle, WA 98125-4376
Mailing address
2611 NE 125TH St Ste 115
Seattle, WA 98125-4376
Phone (206) 365-2233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KI1751 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
2611 NE 125th St
Ste 115
Seattle, WA 98125
Phone (206) 364-2668
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.
-
- Chiropractor
- Seattle, WA
- NPI 1689714750
-
- Chiropractor
- Seattle, WA
- NPI 1154443638
-
- Chiropractor
- Seattle, WA
- NPI 1548300775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488153600000",
"number": "1376083105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 NE 125TH ST STE 115",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981254376",
"telephone_number": "206-365-2233",
"fax_number": "206-361-7082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 NE 125TH ST STE 115",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981254376",
"telephone_number": "206-365-2233",
"fax_number": "206-361-7082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINEHURST CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-27",
"last_updated": "2017-02-27",
"status": "A",
"authorized_official_last_name": "KIRDAHY",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "D.C, OWNER, PRACTITIONER",
"authorized_official_telephone_number": "206-365-2233"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00001825",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "KI1751",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.