Organization Active NPI

James E. Fitzpatrick, D.C. PS

  • Chiropractor
  • Issaquah, WA
National Provider Identifier
1558614719
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH000000801 Issued in WA
Legal business name
JAMES E. FITZPATRICK, D.C. PS
Practice address
465 Rainier Blvd N
Issaquah, WA 98027-2826
Phone
(425) 392-5321
Fax
(425) 837-3785
NPI assigned
Oct 24, 2012
Last updated
Mar 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Authorized official

Name
Vera Fitzpatrick
Title
Owner
Phone
(425) 392-5321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH000000801 WA Primary

Addresses

Primary practice location

465 Rainier Blvd N
Issaquah, WA 98027-2826

Mailing address

465 Rainier Blvd N
Issaquah, WA 98027-2826
Phone (425) 392-5321

Other identifiers 1

IdentifierTypeStateIssuer
61981OtherWAMEDICARE TIN

National Provider Directory

National Provider Directory

Locations

465 Rainier Blvd N
Issaquah, WA 98027
Phone (425) 392-5321

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1558614719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 RAINIER BLVD N",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272826",
            "telephone_number": "425-392-5321",
            "fax_number": "425-837-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 RAINIER BLVD N",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272826",
            "telephone_number": "425-392-5321",
            "fax_number": "425-837-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E. FITZPATRICK, D.C. PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "VERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-392-5321"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH000000801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TIN",
            "identifier": "61981",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

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