Functional Health Center of Seattle LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60602274 Issued in WA

Legal business name

FUNCTIONAL HEALTH CENTER OF SEATTLE LLC

Doing business as

Functional Health Center of Bellevue

Practice address

14450 NE 29TH PL
Unit 116
Bellevue, WA 98007-8616

Phone

(425) 556-1212

Fax

(425) 556-1238

NPI assigned

Mar 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Niels Jonathan Pedersen, DCNPI 1841518347

Title

Partner

Phone

(425) 556-1212

Specialties & licenses 1

Addresses

Other names 1

• Functional Health Center of Bellevue Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Niels Jonathan Pedersen, D.C.

  • Chiropractor
  • Denver, CO
  • NPI 1841518347
  NPD Authorized official

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1386006799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14450 NE 29TH PL",
            "address_2": "UNIT 116",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980078616",
            "telephone_number": "425-556-1212",
            "fax_number": "425-556-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14450 NE 29TH PL",
            "address_2": "UNIT 116",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980078616",
            "telephone_number": "425-556-1212",
            "fax_number": "425-556-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL HEALTH CENTER OF SEATTLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "PEDERSEN",
        "authorized_official_first_name": "NIELS",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "425-556-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60602274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Functional Health Center of Bellevue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hiromi Fujiwara, MACP, MSW, MS, LMHCA
• Tamami Fujiwara
• Karen Fuller
• Fully Effective Employees, Inc.
• Jacobi Fulp
• Functional Health Consulting, LLC
• Jennine Fung, SLP
• William Furrer Jr., M.D.
• Jessica Fusaro
• Fusioncareai-Wa PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.