NPIMap

Organization Active NPI

Fry Chiropractic

  • Chiropractor
  • Port Orchard, WA
National Provider Identifier
1720400302
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002920 Issued in WA
Legal business name
FRY CHIROPRACTIC
Practice address
4800 Jackson Ave SE Ste 104
Port Orchard, WA 98366-1109
Phone
(360) 876-4120
Fax
(360) 895-0496
NPI assigned
Jan 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Dr. Jeffery Adam Fry, D.C.NPI 1700921855
Title
Owner
Phone
(360) 876-4120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH00002920 WA Primary

Addresses

Primary practice location

4800 Jackson Ave SE Ste 104
Port Orchard, WA 98366-1109

Mailing address

4800 Jackson Ave SE Ste 104
Port Orchard, WA 98366-1109
Phone (360) 876-4120

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1720400302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 JACKSON AVE SE STE 104",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983661109",
            "telephone_number": "360-876-4120",
            "fax_number": "360-895-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 JACKSON AVE SE STE 104",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983661109",
            "telephone_number": "360-876-4120",
            "fax_number": "360-895-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-876-4120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.