Individual provider Active NPI

Gereg A Pfiffner, DC

  • Chiropractor
  • North Bend, WA
National Provider Identifier
1588729693
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHOOOO2939 Issued in WA
Practice address
418 East North Bend Way
North Bend, WA 98045
Phone
(425) 888-6846
Fax
(425) 888-6932
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHOOOO2939 WA Primary

Addresses

Primary practice location

418 East North Bend Way
North Bend, WA 98045

Mailing address

PO Box 2388
North Bend, WA 98045-2388
Phone (425) 888-6846

Other identifiers 1

IdentifierTypeStateIssuer
0156311OtherWALABOR & INDUSTRIES #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120420000640 WA Practitioner - Chiropractic 0446147961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

118 Downing Ave N
North Bend, WA 98045-8301
Phone (425) 888-6846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHOOOO2939WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Chiropractic Center Inc Chiropractor CurrentSince Jan 15, 2002 Accepting new patients

Locations

118 Downing Ave N
North Bend, WA 98045
Phone (425) 361-0369

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588729693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2388",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980452388",
            "telephone_number": "425-888-6846",
            "fax_number": "425-888-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 EAST NORTH BEND WAY",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "98045",
            "telephone_number": "425-888-6846",
            "fax_number": "425-888-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFIFFNER",
        "first_name": "GEREG",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CHOOOO2939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES #",
            "identifier": "0156311",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bend, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.