Jorge A Fraga, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CH00002378 Issued in WA

Practice address

207 N 3Rd Ave
Pasco, WA 99301-5315

Phone

(509) 547-4207

Fax

(509) 547-4208

NPI assigned

Feb 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chan Chiropractic Clinic, P.S.

  • Chiropractor
  • Kennewick, WA
  • NPI 1235255662
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417083023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N 3RD AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015315",
            "telephone_number": "509-547-4207",
            "fax_number": "509-547-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N 3RD AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015315",
            "telephone_number": "509-547-4207",
            "fax_number": "509-547-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGA",
        "first_name": "JORGE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WA",
            "license": "CH00002378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "CH00002378",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucy Fort, INTERPRETER
• Fortify Family Chiropractic, LLC
• Fortify Family Chiropractic, LLC (NewEdge Family Chiropractic)
• Tricia Fotheringham, BSN, RN, NCSN
• Fourth Dimension Living, Foundations
• Franklin County Fire Protection District 3
• Christina Franklin
• Judith Fredrickson
• Greg W Frodel, DDS
• Amber Fuentes

• Rehabilitation Chiropractor in Pasco, WA
• Providers in Pasco, WA by specialty
• Rehabilitation Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.