Organization Active NPI

Bellingham Chiropractic Center Inc PS

  • Chiropractor
  • Bellingham, WA
National Provider Identifier
1497969547
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00000940 Issued in WA
Legal business name
BELLINGHAM CHIROPRACTIC CENTER INC PS
Practice address
1840 Iron St
Suite a
Bellingham, WA 98225-4644
Phone
(360) 676-1140
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Jay Kruse, DC
Title
President
Phone
(360) 676-1140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00000940 WA Primary

Addresses

Primary practice location

1840 Iron St
Suite a
Bellingham, WA 98225-4644

Mailing address

1840 Iron St
Suite a
Bellingham, WA 98225-4644
Phone (360) 676-1140

Other identifiers 2

IdentifierTypeStateIssuer
50435OtherWALABOR AND INDUSTRIES
2013480MedicaidWA

National Provider Directory

National Provider Directory

Locations

1840 Iron St
Ste A
Bellingham, WA 98225
Phone (360) 676-1140

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497969547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 IRON ST",
            "address_2": "SUITE A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254644",
            "telephone_number": "360-676-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 IRON ST",
            "address_2": "SUITE A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254644",
            "telephone_number": "360-676-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLINGHAM CHIROPRACTIC CENTER INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRUSE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-676-1140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00000940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "50435",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2013480",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.