NPIMap

Organization Active NPI

Fireside Chiropractic, L.L.C.

  • Chiropractor
  • Battle Ground, WA
National Provider Identifier
1407207665
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60538356 Issued in WA
Legal business name
FIRESIDE CHIROPRACTIC, L.L.C.
Practice address
909 W Main St
Battle Ground, WA 98604-4884
Phone
(360) 949-0936
NPI assigned
Jun 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Kirsten Friberg, DC
Title
Owner
Phone
(360) 949-0936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH60538356 WA Primary

Addresses

Primary practice location

909 W Main St
Battle Ground, WA 98604-4884

Mailing address

PO Box 1122
Battle Ground, WA 98604-1122

Other names 1

  • Fireside Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

909 W Main St
Battle Ground, WA 98604
Phone (360) 949-0936

909 W Main St
Ste 105
Battle Ground, WA 98604
Phone (360) 949-0936

Practitioners & affiliated clinicians

Practitioners 3

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": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1407207665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1122",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986041122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W MAIN ST",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044884",
            "telephone_number": "360-949-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRESIDE CHIROPRACTIC, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "FRIBERG",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-949-0936",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60538356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fireside Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Battle Ground, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.