Queensgate Family Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60123090 Issued in WA

Legal business name

QUEENSGATE FAMILY CHIROPRACTIC PLLC

Practice address

2568 Queensgate Dr.
Richland, WA 99352

Phone

(509) 628-8897

Fax

(509) 628-8773

NPI assigned

Mar 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Max Wallace Bridge, D.C.NPI 1639491400

Title

Owner/Chiropractor

Phone

(509) 628-8897

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Max Wallace Bridge, D.C.

  • Chiropractor
  • Richland, WA
  • NPI 1639491400
  Medicare reassignment NPD Authorized official
• Michael A Terry, D.C.

  • Chiropractor
  • Spokane, WA
  • NPI 1861550279
  NPD (past)

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1922322395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2568 QUEENSGATE DR.",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99352",
            "telephone_number": "509-628-8897",
            "fax_number": "509-628-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2568 QUEENSGATE DR.",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99352",
            "telephone_number": "509-628-8897",
            "fax_number": "509-628-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENSGATE FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "BRIDGE",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "509-628-8897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60123090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Pyles-Reiten, OTR/L
• Alyson C Pyles, CCC-SLP
• Marwan Qattan, M.D.
• Wei Qiu, MD
• Amy Katherine Quaresma, MSW
• Amanda Quesnell, CG
• Joel Quiroz, PA-C
• Farhan Qureshi, MD
• R & B Fleck Enterprises, LLC
• R & J Young Enterprises Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.