NPIMap

Organization Active NPI

Frederick Chiropractic

  • Chiropractor
  • Port Orchard, WA
National Provider Identifier
1427487248
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
00033949 Issued in WA
Legal business name
FREDERICK CHIROPRACTIC
Practice address
2501 SE Mile Hill Dr
Ste. a-101
Port Orchard, WA 98366-3500
Phone
(360) 895-4843
Fax
(360) 895-4210
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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

Authorized official

Name
Dr. Kenneth B Frederick, D.C.NPI 1073628061
Title
Owner
Phone
(360) 895-4843

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X 00033949 WA Primary

Addresses

Primary practice location

2501 SE Mile Hill Dr
Ste. a-101
Port Orchard, WA 98366-3500

Mailing address

2501 SE Mile Hill Dr
Ste. a-101
Port Orchard, WA 98366-3500
Phone (360) 895-4843

National Provider Directory

National Provider Directory

Locations

2501 SE Mile Hill Dr
Ste A101
Port Orchard, WA 98366
Phone (360) 620-8943

Practitioners & affiliated clinicians

Practitioners 7

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": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1427487248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 SE MILE HILL DR",
            "address_2": "STE. A-101",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663500",
            "telephone_number": "360-895-4843",
            "fax_number": "360-895-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 SE MILE HILL DR",
            "address_2": "STE. A-101",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663500",
            "telephone_number": "360-895-4843",
            "fax_number": "360-895-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-895-4843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "00033949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.