Fortify Family Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FORTIFY FAMILY CHIROPRACTIC, LLC

Practice address

4525 Road 68
Pasco, WA 99301-9595

Phone

(509) 855-1499

NPI assigned

Nov 25, 2019

Organization subpart

No

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

Authorized official

Name

James Dane Riner, DC

Title

Doctor/Owner

Phone

(509) 855-1499

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1902442999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 ROAD 68 STE H",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019595",
            "telephone_number": "509-558-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 ROAD 68",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019595",
            "telephone_number": "509-855-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTIFY FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2020-10-22",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "RINER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DANE",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "509-855-1499",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669018164",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Genesis",
            "affiliation": "N",
            "address_1": "4525 Road 68",
            "city": "Pasco",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993019595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Guadalupe Flores
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• Elizabeth Fluke
• Footworks Clinic LLC
• Lucy Fort, INTERPRETER
• Fortify Family Chiropractic, LLC
• Tricia Fotheringham, BSN, RN, NCSN
• Fourth Dimension Living, Foundations
• Jorge A Fraga, D.C.
• Franklin County Fire Protection District 3

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.