Kyle Thomas Bergquist, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034652 Issued in WA

Practice address

2004 Fairview Ave
Seattle, WA 98121-2704

Phone

(206) 749-0169

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Arctic Pain Partners Incorporated

  • General Practice Physician
  • Seattle, WA
  • NPI 1639598568
  NPD (past) Authorized official
• Arctic Pain Relief Center, LLC

  • Multi-Specialty Clinic/Center
  • Wasilla, AK
  • NPI 1184074189
  NPD (past) Authorized official
• Seattle Physical Medicine

  • Nurse Practitioner
  • Seattle, WA
  • NPI 1588907158
  NPD (past)
• Thomas Wayne PLLC

  • Chiropractor
  • Burien, WA
  • NPI 1962694224
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942397823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 DEXTER AVE NORTH",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98109",
            "telephone_number": "206-713-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 FAIRVIEW AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212704",
            "telephone_number": "206-749-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGQUIST",
        "first_name": "KYLE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danae Bergman, MSW
• Inese Vivian Bergman, DDS
• Robert L Bergman, MD
• Margaret Bergmann-Ness, M.A., LICSW
• Meeghan Bergmann, LICSW
• Carl E. Bergsagel, MS
• Shannon Bergstedt
• Carson Josef Bergstrom
• Eric John Bergstrom, O.D.
• Katie Lee Bergstrom, MS, CGC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.