NPIMap

Organization Active NPI

Kirkland Chiropractic & Massage, P.S.

  • Chiropractor
  • Kirkland, WA
National Provider Identifier
1740588201
Registry record updated Mar 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00033791 Issued in WA
Legal business name
KIRKLAND CHIROPRACTIC & MASSAGE, P.S.
Practice address
6515 132ND Ave NE
Kirkland, WA 98033-8628
Phone
(425) 822-4326
Fax
(425) 827-3572
NPI assigned
Mar 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2011

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

Authorized official

Name
Dr. Matthew Golden Larson, D.C.NPI 1043534878
Title
Owner/Doctor of Chiropractic
Phone
(425) 822-4326

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 SINGLE SPECIALTY GROUP 111N00000X CH00033791 WA Primary

Addresses

Primary practice location

6515 132ND Ave NE
Kirkland, WA 98033-8628

Mailing address

6515 132ND Ave NE
Kirkland, WA 98033-8628
Phone (425) 822-4326

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110325000481 WA Part B Supplier - Clinic/Group Practice 8325221542 Receives reassigned benefits from 2 practitioners
Practice locations: Kirkland, WA

National Provider Directory

National Provider Directory

Locations

6515 132nd Ave NE
Kirkland, WA 98033
Phone (425) 822-4326

Practitioners & affiliated clinicians

Practitioners 3

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": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301097600000",
    "number": "1740588201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 132ND AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338628",
            "telephone_number": "425-822-4326",
            "fax_number": "425-827-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 132ND AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338628",
            "telephone_number": "425-822-4326",
            "fax_number": "425-827-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKLAND CHIROPRACTIC & MASSAGE, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-26",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "GOLDEN",
        "authorized_official_title_or_position": "OWNER/DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "425-822-4326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.