Organization Active NPI

One Stop Mobile Chiropractic

  • Chiropractor
  • Lakewood, WA
National Provider Identifier
1003449844
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ONE STOP MOBILE CHIROPRACTIC
Practice address
8101 83Rd Ave SW Apt D28
Lakewood, WA 98498-6016
Phone
(360) 989-8859
NPI assigned
Feb 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Damone Donnell Scott, DC
Title
Owner
Phone
(360) 989-8859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

8101 83Rd Ave SW Apt D28
Lakewood, WA 98498-6016

Mailing address

8101 83Rd Ave SW Apt D28
Lakewood, WA 98498-6016
Phone (360) 989-8859

Other identifiers 1

IdentifierTypeStateIssuer
604212913OtherWABUSINESS LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Directedexchange

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1003449844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 83RD AVE SW APT D28",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984986016",
            "telephone_number": "360-989-8859",
            "fax_number": "253-276-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 83RD AVE SW APT D28",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984986016",
            "telephone_number": "360-989-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE STOP MOBILE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DAMONE",
        "authorized_official_middle_name": "DONNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-989-8859",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "604212913",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Directedexchange",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "address_1": "8101 83rd Ave SW Apt D28",
            "city": "Lakewood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984986016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.