Organization Active NPI

Life Chiropractic, PS

  • Chiropractor
  • Federal Way, WA
National Provider Identifier
1508031782
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001214 Issued in WA
Legal business name
LIFE CHIROPRACTIC, PS
Practice address
34507 Pacific Hwy S
Ste 4
Federal Way, WA 98003-6879
Phone
(253) 874-4141
Fax
(253) 874-3601
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Dr. Frederick David Hardy, DC
Title
President
Phone
(253) 874-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00001214 WA Primary

Addresses

Primary practice location

34507 Pacific Hwy S
Ste 4
Federal Way, WA 98003-6879

Mailing address

34507 Pacific Hwy S
Ste 4
Federal Way, WA 98003-6879
Phone (253) 874-4141

National Provider Directory

National Provider Directory

Locations

34507 Pacific Hwy S
Ste 4
Federal Way, WA 98003
Phone (253) 874-4141

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1508031782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34507 PACIFIC HWY S",
            "address_2": "STE 4",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036879",
            "telephone_number": "253-874-4141",
            "fax_number": "253-874-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34507 PACIFIC HWY S",
            "address_2": "STE 4",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036879",
            "telephone_number": "253-874-4141",
            "fax_number": "253-874-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHIROPRACTIC, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-874-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.