Newport Chiropractic Center, PS.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1551 Issued in WA

Legal business name

NEWPORT CHIROPRACTIC CENTER, PS.

Practice address

4307 Factoria Blvd SE
Suite 1
Bellevue, WA 98006-1936

Phone

(425) 747-5657

Fax

(425) 747-5334

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Peter Lorge III, DC

Title

President

Phone

(425) 747-5657

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598836363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 FACTORIA BLVD SE",
            "address_2": "SUITE 1",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061936",
            "telephone_number": "425-747-5657",
            "fax_number": "425-747-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 FACTORIA BLVD SE",
            "address_2": "SUITE 1",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061936",
            "telephone_number": "425-747-5657",
            "fax_number": "425-747-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT CHIROPRACTIC CENTER, PS.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LORGE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-747-5657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "1551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Chiropractor in Washington

• 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.