NPIMap

Organization Active NPI

Front Street Chiropractic Clinic PS

  • Chiropractor
  • Issaquah, WA
National Provider Identifier
1609097005
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
00001953 Issued in WA
Legal business name
FRONT STREET CHIROPRACTIC CLINIC PS
Practice address
46 Front St N
Issaquah, WA 98027-3236
Phone
(425) 392-0971
Fax
(425) 392-0391
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Authorized official

Name
Dr. Robert S Brown, D.C.
Title
President
Phone
(425) 392-0971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 00001953 WA Primary

Addresses

Primary practice location

46 Front St N
Issaquah, WA 98027-3236

Mailing address

46 Front St N
Issaquah, WA 98027-3236
Phone (425) 392-0971

National Provider Directory

National Provider Directory

Locations

46 Front St N
Issaquah, WA 98027
Phone (425) 392-0971

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1609097005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 FRONT ST N",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273236",
            "telephone_number": "425-392-0971",
            "fax_number": "425-392-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 FRONT ST N",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273236",
            "telephone_number": "425-392-0971",
            "fax_number": "425-392-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT STREET CHIROPRACTIC CLINIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-392-0971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "00001953",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 26, 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.