Organization Active NPI

Pinehurst Chiropractic

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1376083105
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001825 Issued in WA
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Authorized official

Name
David P KirdahyNPI 1689714750
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
KI1751MedicaidWA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.