Ron J Fredrickson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00001742 Issued in WA

Practice address

355 W. Third Avenue
Kettle Falls, WA 99141

Phone

(509) 738-2386

Fax

(509) 738-2386

NPI assigned

Nov 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750460218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "KETTLE FALLS",
            "state": "WA",
            "postal_code": "991410788",
            "telephone_number": "509-738-2386",
            "fax_number": "509-738-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 W. THIRD AVENUE",
            "city": "KETTLE FALLS",
            "state": "WA",
            "postal_code": "99141",
            "telephone_number": "509-738-2386",
            "fax_number": "509-738-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDRICKSON",
        "first_name": "RON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel A Artzis, MD
• Caitlyn Marie Aubertin
• Community Partnerships for Mental Health
• Carrie Corbin, L.M.T.
• Fredrickson Chiropractic Clinic PS
• Dane Moroni Gilson
• Karey LK Goodness, PTA
• Laura Hodgson
• April S. Hume, M.D.
• Donald L Jackson, PA C

• Chiropractor in Kettle Falls, WA
• Providers in Kettle Falls, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.