Active NPI
Frederick L. Swendsen, D.C.
- Chiropractor
- Puyallup, WA
National Provider Identifier
1457424335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1816
- Practice address
- 1011 E Main
Ste 201
Puyallup, WA 98372-6779 - Phone
- (253) 845-2013
- Fax
- (253) 845-2030
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1816 | WA | Primary |
Addresses
Primary practice location
1011 E Main
Ste 201
Puyallup, WA 98372-6779
Mailing address
1011 E Main
Ste 201
Puyallup, WA 98372-6779
Phone (253) 845-2013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2160117 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1816 | WA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457424335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 E MAIN",
"address_2": "STE 201",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983726779",
"telephone_number": "253-845-2013",
"fax_number": "253-845-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 E MAIN",
"address_2": "STE 201",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983726779",
"telephone_number": "253-845-2013",
"fax_number": "253-845-2030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWENDSEN",
"first_name": "FREDERICK",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "1816",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2160117",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- 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.