Michael Bourbonnais PS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003244 Issued in WA

Legal business name

MICHAEL BOURBONNAIS PS

Doing business as

Fremont Chiropractic

Practice address

3514 Fremont Ave N
Seattle, WA 98103-8814

Phone

(206) 634-1300

Fax

(206) 547-2525

NPI assigned

Oct 14, 2011

Organization subpart

No

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

Authorized official

Name

Michael D Bourbonnais, DCNPI 1801966270

Title

Owner

Phone

(206) 634-1300

Specialties & licenses 8

Addresses

Other names 1

• Fremont Chiropractic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael David Bourbonnais, D.C.

  • Chiropractor
  • Seattle, WA
  • NPI 1801966270
  NPD (past) Authorized official

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1750666392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 FREMONT AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038814",
            "telephone_number": "206-634-1300",
            "fax_number": "206-547-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 FREMONT AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038814",
            "telephone_number": "206-634-1300",
            "fax_number": "206-547-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL BOURBONNAIS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "BOURBONNAIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-634-1300",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003244",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60197011",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034044",
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA00019319",
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA60159887",
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA60102515",
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA00023264",
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA00012837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fremont Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Omar Yusuf Mian, MD, PHD
• Weiqun Miao, ACUPUNCTURIST
• Ricky Miaw, LMT
• Micah Bickel Daniel Bickel PLCC (Phinney Ridge Dental)
• Kristen Marie Micevic, PA-C
• Michael E Martin Jr DDS (Keystone Dental)
• Michael F. Failla, Inc., P.S. (Evergreen Chiropractic Center)
• Michael Huynh DDS and Amin Tabatabaian, DDS PLLC (Oak Tree Dental Care)
• Michael Kang, DMD, MMSC, PLLC (Endodontics Seattle)
• Michael L Bilikas DDS, PS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.