Individual provider Active NPI

J Joseph Friedman, DC

  • Chiropractor
  • Kennewick, WA
National Provider Identifier
1720675325
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61125299 Issued in WA
Practice address
7117 W Hood PL Ste 130
Kennewick, WA 99336-6722
Phone
(509) 820-3828
Fax
(509) 820-3827
NPI assigned
Dec 29, 2020
Last updated
Apr 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61125299 WA Primary

Addresses

Primary practice location

7117 W Hood PL Ste 130
Kennewick, WA 99336-6722

Mailing address

7117 W Hood PL Ste 130
Kennewick, WA 99336-6722
Phone (509) 820-3828

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210302001059 WA Practitioner - Chiropractic 5496161374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Chiropractic and ExtremitiesGroup PAC ID 4385917137, 2 clinicians

Practice addresses (Care Compare)

7117 W Hood PL
Suite 130
Kennewick, WA 99336-6722
Phone (509) 820-3828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Chiropractic and Extremities Chiropractor CurrentSince Apr 6, 2023 Accepting new patients
Justice Family Chiropractic Chiropractor CurrentSince Apr 6, 2023 Accepting new patients

Locations

7117 W Hood Pl
Ste 130
Kennewick, WA 99336
Phone (509) 222-1132

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1720675325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 W HOOD PL STE 130",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366722",
            "telephone_number": "509-820-3828",
            "fax_number": "509-820-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7117 W HOOD PL STE 130",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366722",
            "telephone_number": "509-820-3828",
            "fax_number": "509-820-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "J",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-29",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61125299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.