Organization Active NPI

Akridge Chiropractic Inc, P.S.

Doing business as Akridge Chiropractic Laser Pain Center

  • Chiropractor
  • Kennewick, WA
National Provider Identifier
1871691022
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001581 Issued in WA
Legal business name
AKRIDGE CHIROPRACTIC INC, P.S.
Doing business as
Akridge Chiropractic Laser Pain Center
Practice address
8511 W Clearwater Ave Ste B
Kennewick, WA 99336-9592
Phone
(509) 783-8145
Fax
(509) 783-8147
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Scott Kelly Akridge, D.C.NPI 1598867673
Title
President
Phone
(509) 783-8145

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 CH00001581 WA Primary

Addresses

Primary practice location

8511 W Clearwater Ave Ste B
Kennewick, WA 99336-9592

Mailing address

8511 W Clearwater Ave Ste B
Kennewick, WA 99336-9592
Phone (509) 783-8145

Other names 1

  • Akridge Chiropractic Laser Pain Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130121000183 WA Part B Supplier - Clinic/Group Practice 9638322886 Receives reassigned benefits from 1 practitioner
Practice locations: Kennewick, WA

National Provider Directory

National Provider Directory

Locations

8518 W Gage Blvd
Ste B
Kennewick, WA 99336
Phone (509) 300-1203

8511 W Clearwater Ave
Ste B
Kennewick, WA 99336
Phone (509) 783-8145

Practitioners & affiliated clinicians

Practitioners 4

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1871691022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8511 W CLEARWATER AVE STE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993369592",
            "telephone_number": "509-783-8145",
            "fax_number": "509-783-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8511 W CLEARWATER AVE STE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993369592",
            "telephone_number": "509-783-8145",
            "fax_number": "509-783-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKRIDGE CHIROPRACTIC INC, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "AKRIDGE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-783-8145",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Akridge Chiropractic Laser Pain Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Akridge Chiropractic Laser Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.