Individual provider Active NPI

Thomas William Kirby, D.C.

  • Chiropractor
  • Port Townsend, WA
National Provider Identifier
1801079744
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034473 Issued in WA
Practice address
1330 Lawrence St
Port Townsend, WA 98368-6555
Phone
(360) 385-0322
Fax
(360) 385-5626
NPI assigned
Dec 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034473 WA Primary

Addresses

Primary practice location

1330 Lawrence St
Port Townsend, WA 98368-6555

Mailing address

1330 Lawrence St
Port Townsend, WA 98368-6555
Phone (360) 385-0322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00034473WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Carlson Chiropractic Center, PC Chiropractor PastSince Feb 21, 2003 Accepting new patients
Dale Fountain, DC, PS Chiropractor Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1801079744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 LAWRENCE ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686555",
            "telephone_number": "360-385-0322",
            "fax_number": "360-385-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 LAWRENCE ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686555",
            "telephone_number": "360-385-0322",
            "fax_number": "360-385-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Townsend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.