NPIMap

Organization Active NPI

Ridgefield Chiropractic Clinic

  • Chiropractor
  • Ridgefield, WA
National Provider Identifier
1821336751
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002689 Issued in WA
Legal business name
RIDGEFIELD CHIROPRACTIC CLINIC
Practice address
414 Pioneer St
Suite a
Ridgefield, WA 98642-4512
Phone
(360) 936-7146
Fax
(360) 887-2984
NPI assigned
Jan 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Dr. Kendall Nelson Covert Jr., D.C.NPI 1598950800
Title
Doctor of Chiropractic
Phone
(360) 936-7146

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 CH00002689 WA Primary

Addresses

Primary practice location

414 Pioneer St
Suite a
Ridgefield, WA 98642-4512

Mailing address

PO Box 214
Ridgefield, WA 98642-0214
Phone (360) 936-7146

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1821336751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 214",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986420214",
            "telephone_number": "360-936-7146",
            "fax_number": "360-887-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 PIONEER ST",
            "address_2": "SUITE A",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986424512",
            "telephone_number": "360-936-7146",
            "fax_number": "360-887-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEFIELD CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "COVERT",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "360-936-7146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.