Island Crest Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ISLAND CREST CHIROPRACTIC INC

Practice address

2825 80TH Ave SE
Ste 2
Mercer Island, WA 98040-2985

Phone

(206) 232-2000

NPI assigned

Jan 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Arthur S Chandless III, D.C.

Title

Owner

Phone

(206) 232-2000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1003146200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 80TH AVE SE",
            "address_2": "STE 2",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402985",
            "telephone_number": "206-232-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 80TH AVE SE",
            "address_2": "STE 2",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402985",
            "telephone_number": "206-232-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND CREST CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "CHANDLESS",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-232-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.