Paul Kenneth Patterson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003533 Issued in WA

Practice address

3721 Kitsap Way
Ste 8
Bremerton, WA 98312-2461

Phone

(360) 627-9582

Fax

(360) 377-3752

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Johnson Chiropractic Clinic PS Inc

  • Clinic/Center
  • Bremerton, WA
  • NPI 1063784064
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1730228875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 KITSAP WAY",
            "address_2": "STE 8",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983122461",
            "telephone_number": "360-627-9582",
            "fax_number": "360-377-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 KITSAP WAY",
            "address_2": "STE 8",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983122461",
            "telephone_number": "360-627-9582",
            "fax_number": "360-377-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "PAUL",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005550662",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "314164",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM",
            "identifier": "603606",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian Paterson
• Nena Lorraine Patino
• Deanna Patnode
• Angela M Patraw-Flesher, LMP MM
• Erin E Patterson, P.T.
• Elliyah Patti
• Kayli Patti
• Amelia J Patton
• Jared Michael Patton, M.D.
• Kevin Cosand Patton, MA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.