North Bend Chiropractic and Golf Fitness Center PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CH33805 Issued in WA

Legal business name

NORTH BEND CHIROPRACTIC AND GOLF FITNESS CENTER PLLC

Practice address

325 East Third Street
North Bend, WA 98045

Phone

(425) 888-3600

NPI assigned

May 19, 2008

Last updated

May 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew D Miller, DCNPI 1841360674

Title

Member

Phone

(425) 888-3600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew David Miller, D.C.

  • Chiropractor
  • North Bend, WA
  • NPI 1841360674
  Medicare reassignment NPD Authorized official
• Bradley Donald Kaasa, DC

  • Chiropractor
  • North Bend, WA
  • NPI 1447349592
  NPD
• Pamela Miller, LMP

  • Massage Therapist
  • North Bend, WA
  • NPI 1578878682
  NPD (past)

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1801053764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2630",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980452630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 EAST THIRD STREET",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "98045",
            "telephone_number": "425-888-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BEND CHIROPRACTIC AND GOLF FITNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-888-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "CH33805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mt Si Transitional Health Center
• Beth L Murphy, PSY.D.
• Emily Newman, BCBA
• Laura Nicolosi, LMP
• North Bend Anesthesia Billing, LLC
• North Bend Dental Care LLC
• North Bend Pediatric Dentistry, LLC (North Bend Pediatric Dentistry)
• North Bend Therapeutic Massage
• NW Medical LLC
• Crystal L O'Brien, CMA, LMP

• Clinic/Center in North Bend, WA
• Providers in North Bend, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.